 That in 2005 were three medical centers, a small community hospital, and 19 clinics offering medical care to military beneficiaries in the NCR was to become, with oversight of the OI, a single tri-service medical center, a large tri-service hospital in Northern Virginia, and 20 area clinics.Groundbreaking took place on July 3, 2008, with President George W. Bush officiating.The goal of the merger was for the government to ultimately spend less maintaining a new building than an old one.