Provider Demographics
NPI:1396158168
Name:NMC PORTSMOUTH
Entity type:Organization
Organization Name:NMC PORTSMOUTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:UBO MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:CONDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-401-3643
Mailing Address - Street 1:THIRD PARTY COLLECTIONS
Mailing Address - Street 2:620 JOHN PAUL JONES CIR
Mailing Address - City:PORTHSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23708-2111
Mailing Address - Country:US
Mailing Address - Phone:757-953-9881
Mailing Address - Fax:757-953-9908
Practice Address - Street 1:1885 TERRIER AVE STE 100
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23461-2205
Practice Address - Country:US
Practice Address - Phone:757-953-9881
Practice Address - Fax:757-953-9908
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NMC PORTSMOUTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-09
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332000000XSuppliersMilitary/U.S. Coast Guard Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2146174OtherPK