Us Coast Guard Medical Clinic North Bend in North Bend - Military Health Care Provider
Us Coast Guard Medical Clinic North Bend - NPI 1770608424
Us Coast Guard Medical Clinic North Bend is a Military Health Care Provider in North Bend, Oregon. Us Coast Guard Medical Clinic North Bend practices all healthcare services and medical treatments related to Military Health Care Provider. The NPI Number for Us Coast Guard Medical Clinic North Bend is 1770608424. The last update date is 2020-08-22.
Us Coast Guard Medical Clinic North Bend's current location address is 2000 Connecticut Ave, North Bend, Oregon. You can contact this provider via phone number 5417569234 and fax number 5417569617. The mailing address for Us Coast Guard Medical Clinic North Bend is 2000 Connecticut Ave, North Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Us Coast Guard Medical Clinic North Bend |
|---|---|
| Address | 2000 Connecticut Ave, North Bend, Oregon |
| Phone Number | 5417569234 |
| Fax Number | 5417569617 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SENIOR MED |
|---|---|
| Authorized Official Name | Kinsley J Stephen |
| Credentials | M.D. |
| Telephone Number | 5417569237 |
NPI Number Detail
| NPI Number | 1770608424 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2000 Connecticut Ave |
|---|---|
| City | North Bend |
| State | Oregon (OR) |
| Post Code | 974592300 |
| Phone Number | 5417569234 |
| Fax Number | 5417569617 |
Provider's Primary Taxonomy Detail
| Speciality | Military Health Care Provider |
|---|---|
| Taxonomy | 171000000X |
| Licence No | 35057309 |
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Definition: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
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What is the unique 10-digit identifier code issued to Us Coast Guard Medical Clinic North Bend by the Centers for Medicare & Medicaid Services?
The Us Coast Guard Medical Clinic North Bend has been assigned the NPI (National Provider Identifier) 1770608424 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Us Coast Guard Medical Clinic North Bend's physical address?
The Us Coast Guard Medical Clinic North Bend is physically located at 2000 Connecticut Ave, in the city of North Bend, OR, with the postal code 974592300.
What is Us Coast Guard Medical Clinic North Bend's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Us Coast Guard Medical Clinic North Bend's specialized field of practice is Military Health Care Provider, and the corresponding taxonomy code that categorizes this area of specialization is 171000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1770608424 to Us Coast Guard Medical Clinic North Bend?
The Centers for Medicare & Medicaid Services assigned the 1770608424 to Us Coast Guard Medical Clinic North Bend on 2007-03-20.
When was the information regarding Us Coast Guard Medical Clinic North Bend most recently updated?
The details pertaining to the Us Coast Guard Medical Clinic North Bend, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.