2ND MARINE DIVISION – NPI #1790976496
Clinic/Center

"Non-fixed" facilities or distinct parts of a "non-fixed" facility, providing outpatient medical and dental services, primarily intended for DoD active duty. The entity is funded with other than Defense Health Program funding. Non-DoD active duty may receive services from this entity. "Non-fixed" facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. "Non-fixed" facilities include outpatient services furnished onboard ships. "Non-fixed" facilities also include deployed clinics. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.

2ND MARINE DIVISION is an AHC clinic located in CAMP LEJEUNE, NC. NPPES has assigned the NPI number 1790976496 to 2ND MARINE DIVISION on August 07, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1102X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Military Outpatient Operational (Transportable) Component

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 2ND MARINE DIVISION below.

NPI Profile for
2ND MARINE DIVISION

NPI Number
1790976496
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
2ND MARINE DIVISION
Primary location
FRENCH CREEK GAS, CLR 27, 2ND MLG
CAMP LEJEUNE, NC 28547
Phone: (910) 451-5125 Fax:
Mailing address
1802 HARRIETTE DR
KINSTON, NC 28504-6722
Phone: (252) 522-4895 Fax:
Organization Subpart
No
Authorized Official
GEORGE SEMPLE
DIVISION SURGEON
Phone: (910) 451-8372
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1102X
- Clinic/Center / Military Outpatient Operational (Transportable) Component (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.