The Defense Health Program or U.S. Coast Guard funded ?fixed? facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A ?fixed? facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the ?fixed? facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Military/U.S. Coast Guard Outpatient | 261QM1100X |
* Indicates primary specialty
| NPI Number | 1710041058 |
| Legal business name LBN |
COAST GUARD TRAINING CENTER PETALUMA |
| Authorized official | GERRY RODRIGUEZ - (CLINIC ADMINISTRATOR) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 12/21/2006 |
| Last updated | 05/07/2009 - About 17 years ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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