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 # | 1598778623 |
| LBN Legal business name | USCG |
| Authorized official | AARON FULTCHER - (CLINIC ADMINISTRATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/13/2006 |
| Last updated | 08/22/2020 - About 6 years ago |
| Identifiers | n/a |
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