OrganizationNaval Hospital Camp Pendleton(<Unavail>)Clinic/CenterAmbulatory Health Care FacilitiesPractice AddressImhoff Rd, Bldg 210735, Box 555191, Camp Pendleton, CA 92055-5191(760) 725-1621PECOS EnrollmentBased on the most recent information from CMS, provider Naval Hospital Camp Pendleton does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1013110089Provider TypeOrganizationFull NameNaval Hospital Camp PendletonOther Name<Unavail>SubpartYesEnumeration Date6/7/2007Last Updated4/10/2014Contact InformationPractice LocationPractice AddressImhoff Rd, Bldg 210735, Box 555191, Camp Pendleton, CA 92055-5191Phone(760) 725-1621Fax(760) 725-1661Mailing LocationMailing AddressPO Box 555191, Fin Mgmt Code 0814, Camp Pendleton, CA 92055-5191Phone(760) 725-1621Fax(760) 725-1661Authorized OfficialNamePeterman, James H (Business Office Supervisor)Phone(760) 725-1621Provider TaxonomiesCodeDescriptionLicenseCode261QM1100XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1386604387DescriptionOtherIssuerPARENT FACILITY NPICalifornia