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Contact Information

UNITED STATES COAST GUARD
410 PENNSYLVANIA AVE # A
PETALUMA, CA94952-9103
 Phone: 707-971-9364
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Military/U.S. Coast Guard Outpatient

261QM1100X
Indicates primary specialty

NPI Profile & details for UNITED STATES COAST GUARD

NPI Number 1669689568
LBN Legal business name UNITED STATES COAST GUARD
Authorized official TODD DEVORE - (CLINIC ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/17/2007
Last updated 07/08/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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