316th Medgrp-Malcolm Grow
316th Medgrp-Malcolm Grow is a Military/U.S. Coast Guard Outpatient Clinic/Center in Jb Andrews, Maryland. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
1060 W Perimeter RdJb Andrews, MD 20762-6602
Phone: (240) 857-8658
Fax: (240) 857-7700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center (primary) | Taxonomy 261QM1101X |
|---|---|
| Military/U.S. Coast Guard Outpatient Clinic/Center | Taxonomy 261QM1100X |
Record details
| NPI number | 1215994660 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | 316th Medgrp-Malcolm Grow |
| Authorized official | William Condon — Dha Financial Manager · (240) 401-3643 |
| Other names | 779th Medical Group; 779th Medical Group |
| NPI enumerated | April 28, 2006 |
| Last updated in NPPES | March 12, 2025 |
| Certification date | March 12, 2025 |
| Mailing address | 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 |