National Provider Identifier Database

121ST CSHBAACH
Military/U.S. Coast Guard Outpatient

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.


Contact Information

121ST CSH/BAACH
UNIT 15333
APO, AP96205
Phone: 01182279171410
Fax:
Website:
Specialty Taxonomy Code
* Military/U.S. Coast Guard Outpatient 261QM1100X

* Indicates primary specialty

NPI Profile & details for 121ST CSH/BAACH

NPI Number 1740496504
Legal business name
LBN
121ST CSH/BAACH
Authorized official CHONG MCCUE - (CHIEF, UBO)
Entity Organization
Organization subpart Yes
Enumeration date 05/15/2007
Last updated 01/03/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • Other: 8210205 NCPDP

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.

Reviews for 121ST CSH/BAACH

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