MEDICARE: NMCP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	286500000X	Military Hospital		VA

General Provider Information

NPI Number	:	1013281724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NMCP

Provider Business Mailing Address
First Line	:	2545 BELMONT STAKES DR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-8130
Country	:	US
Telephone Number	:	757-615-1774
Fax Number	:

Provider Business Practice Location Address
First Line	:	2545 BELMONT STAKES DR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-8130
Country	:	US
Telephone Number	:	757-615-1774
Fax Number	:

Authorized Official
Title or Position	:	DIVISION OFFICER/PEDS/PICU
Name	:	MR. ALVIN GERARD GARCIA
Credential	:	PNP
Telephone Number	:	757-953-4477

Provider Enumeration Date	:	02/27/2012
Last Update Date	:	02/27/2012

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