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Contact Information

COAST GUARD TRAINING CENTER PETALUMA
599 TOMALES RD
HEALTH SERVICES DIVISION
PETALUMA, CA94952-5002
 Phone: 707-765-7200
 Fax: 707-765-7521
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Military/U.S. Coast Guard Outpatient

261QM1100X
Indicates primary specialty

NPI Profile & details for COAST GUARD TRAINING CENTER PETALUMA

NPI Number 1710041058
LBN Legal business name COAST GUARD TRAINING CENTER PETALUMA
Authorized official GERRY RODRIGUEZ - (CLINIC ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/21/2006
Last updated 05/07/2009 - About 17 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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