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That part of a ?fixed? (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial ?take home? pharmaceuticals.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Military and U.S. Coast Guard Ambulatory Procedure |
261QM1101X |
| NPI # | 1528142809 |
| LBN Legal business name | COAST GUARD |
| Authorized official | RICHARD JACKSON - (SUPERVISOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/24/2006 |
| Last updated | 08/22/2020 - About 6 years ago |
| Identifiers | n/a |
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COAST GUARD
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| METRO HEALTH SERVICES PLLC 3327 DUKE ST. ALEXANDRIA, DC |
| NEIVILLE A TEZI JR 6715 LAMONT DR 2041 MLK JR. AVE SE, SUITE, DC |
COAST GUARD