institution
Branch Medical Clinic Edson Range
Military/U.S. Coast Guard Outpatient Clinic/Center in Camp Pendleton, California
NPI 1912100983

Branch Medical Clinic Edson Range is a Military/U.S. Coast Guard Outpatient Clinic/Center based in Camp Pendleton, CA and is specialized in Military/U.S. Coast Guard Outpatient. Branch Medical Clinic Edson Range practices in Camp Pendleton, CA. The NPI Number for Branch Medical Clinic Edson Range is 1912100983 and holds a License No. (California).

The current practice location address for Branch Medical Clinic Edson Range is Stuart Mesa Rd, Bldg 310514, Camp Pendleton, CA and can be reached out via phone at 760-725-1621 and via fax at 760-725-1661.

Location: Stuart Mesa Rd, Bldg 310514, Camp Pendleton, CA, 92055-5191
institution
Provider Profile Details
NPI Number
1912100983
Provider Name
Branch Medical Clinic Edson Range
Credential
Provider Entity Type
Organization
Address
Stuart Mesa Rd, Bldg 310514, Camp Pendleton, CA, 92055-5191
Phone Number
760-725-1621
Fax Number
760-725-1661
Provider Enumeration Date
06/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1386604387 01 CA PARENT FACILITY NPI
institution
Provider Business Practice Location Address Details
Address
Stuart Mesa Rd, Bldg 310514
City
State
Zip
92055-5191
Phone Number
760-725-1621
Fax Number
760-725-1661
person
Provider Business Mailing Address Details
Address
Stuart Mesa Rd, Bldg 310514
City
State
Zip
92055-5191
Phone Number
760-725-1621
Fax Number
760-725-1661
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military/U.S. Coast Guard Outpatient
Taxonomy
License No.
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Definition
The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
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