BRANCH MEDICAL CLINIC MID-SOUTH
NPI 1245295971
Clinic/Center - Military/U.S. Coast Guard Outpatient in Millington, TN

NPI Status: Active since April 18, 2006

Contact Information

5722 INTEGRITY DR
MILLINGTON, TN
ZIP 38054
Phone: (901) 874-6100
Fax: (901) 874-6103

Get Directions Reviews

  • Organization
  • Clinic/Center
  • Military/U.S. Coast Guard Outpatient
  • Accepts Insurance

About BRANCH MEDICAL CLINIC MID-SOUTH

This page provides the complete NPI Profile along with additional information for Branch Medical Clinic Mid-south, a provider established in Millington, Tennessee operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1245295971 assigned on April 2006. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is William M Condon (Bumed Ubo)

NPI
1245295971
Provider Name
BRANCH MEDICAL CLINIC MID-SOUTH
Entity Type
Organization
Location Address
5722 INTEGRITY DR MILLINGTON, TN 38054
Location Phone
(901) 874-6100
Location Fax
(901) 874-6103
Mailing Address
6000 W HIGHWAY 98 PENSACOLA, FL 32512
Mailing Phone
(850) 505-6910
Mailing Fax
(901) 874-6103
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-18-2006
Last Update Date
11-08-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Military/U.S. Coast Guard Outpatient

Taxonomy Code
261QM1100X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCross B07S HSA - EPO
  • BlueCross B15S $0 virtual care from Teladoc Health � - EPO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
  • BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WILLIAM M CONDON

Authorized Official Title
BUMED UBO
Authorized Official Phone
(240) 401-3643

Reviews for BRANCH MEDICAL CLINIC MID-SOUTH

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245295971
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22854910914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 4 + 9 + 1 + 0 + 9 + 1 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1245295971 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356311518 MICHAEL F BALLARD IDC
Individual
Military Health Care Provider (Independent Duty Corpsman)5722 INTEGRITY DR BLDG S771
MILLINGTON, TN 38054
(901) 874-6100
1316917586MR. TIMOTHY JAMES FRANCIS IDC
Individual
Military Health Care Provider (Independent Duty Corpsman)5722 INTEGRITY DR BLDG S771
MILLINGTON, TN 38054
(901) 874-6100
1831147461DR. TRENT WRIGHT MARCUS M.D.
Individual
Family Medicine5722 INTEGRITY DR BUILDING S771
MILLINGTON, TN 38054
(901) 874-6119
1316049281MR. BENJAMIN A B HEVERLY
Individual
Military Health Care Provider (Independent Duty Corpsman)5722 INTEGRITY DR
MILLINGTON, TN 38054
(901) 874-6264
1700960192DR. JONATHAN DAVID KARAMAN DDS
Individual
Dentist (General Practice)5722 INTEGRITY DR
MILLINGTON, TN 38054
(901) 874-6100
1669674818 MARK DAVID NARDUZZI IDC
Individual
Military Health Care Provider (Independent Duty Medical Technicians)5722 INTEGRITY DR BLDG S-771
MILLINGTON, TN 38054
(901) 874-6100
1730367020 ALEXANDER JOSEPH MABILE III
Individual
Military Health Care Provider (Independent Duty Corpsman)5722 INTEGRITY DR NAVMAC
MILLINGTON, TN 38054
(901) 874-6253
1134380033DR. TERENCE C HILGER DDS
Individual
Dentist (Prosthodontics)5722 INTEGRITY DR B S-771 NAV SUP ACT MID SOUTH
MILLINGTON, TN 38054
(901) 874-6100
1144690603 THOMAS KORTE
Individual
Dentist5722 INTEGRITY DR BLDG S771
MILLINGTON, TN 38054
(901) 874-5361
1609234509 MEOSHE BECKWORTH PHYSICIAN ASSISTANT
Individual
Physician Assistant5722 INTEGRITY DR BUILDING S-771
MILLINGTON, TN 38054
(901) 874-6100
1295761476NAVBRHLTHCL
Organization
Clinic/Center5722 INTEGRITY DR BLDG S-771 NAVSUPACT MID SOUTH
MILLINGTON, TN 38054
(901) 874-5471
1477188324 RANDI BRENAI ALLEN MD
Individual
Military Health Care Provider5722 INTEGRITY DR
MILLINGTON, TN 38054
(901) 874-6100
1548822471 MARIA BURKE
Individual
Physical Therapy Assistant5722 INTEGRITY DR
MILLINGTON, TN 38054
(901) 874-6100
1437441706DR. DANIELLE MICHELLE LAGOSKI M.D.
Individual
Family Medicine5722 INTEGRITY DR
MILLINGTON, TN 38054
(901) 874-9464
1720350135MRS. AMELIA ROSS OLSON PA-C
Individual
Physician Assistant5722 INTEGRITY DR
MILLINGTON, TN 38054
(410) 293-4378
1275832156DR. KRISTEN DENISE GROSS DPT
Individual
Physical Therapist5722 INTEGRITY DR
MILLINGTON, TN 38054
(901) 874-5111
1962798132DR. CELESTE DANIELLE YOUNG D.O.
Individual
Internal Medicine5722 INTEGRITY DR
MILLINGTON, TN 38054
(901) 874-6100
1639962384 HAYDEN WILLIAM STORMS
Individual
Specialist/Technologist, Other5722 INTEGRITY DR
MILLINGTON, TN 38054
(901) 874-6118

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245295971, enumerated in the NPI registry as an "organization" on April 18, 2006

The provider is located at 5722 Integrity Dr Millington, Tn 38054 and the phone number is (901) 874-6100

This medical organization specializes in Clinic/Center with taxonomy code 261QM1100X with a focus in Military/U.S. Coast Guard Outpatient

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.