Provider Demographics
NPI:1235103177
Name:NAVY MEDICAL BRANCH CLINIC - UK
Entity Type:Organization
Organization Name:NAVY MEDICAL BRANCH CLINIC - UK
Other - Org Name:DEPT OF NAVY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:WOMACK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:044-235-6387
Mailing Address - Street 1:PSC 826 BOX 286
Mailing Address - Street 2:
Mailing Address - City:FPO/AE
Mailing Address - State:UK
Mailing Address - Zip Code:09420
Mailing Address - Country:GB
Mailing Address - Phone:0149-446-2059
Mailing Address - Fax:
Practice Address - Street 1:PSC 821 BOX 22
Practice Address - Street 2:
Practice Address - City:FPO/AE
Practice Address - State:UK
Practice Address - Zip Code:09421
Practice Address - Country:GB
Practice Address - Phone:0189-561-6387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0064683261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care