 That merged facility was to be staffed by Army, Navy, and Air Force medical personnel and become the core of an integrated military medicine system in the National Capital Region (NCR).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.