United States Coast Guard in Petaluma - Military/u.s. Coast Guard Outpatient
United States Coast Guard - NPI 1669689568
United States Coast Guard is a Military/u.s. Coast Guard Outpatient in Petaluma, California. United States Coast Guard practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for United States Coast Guard is 1669689568. The last update date is 2008-07-08.
United States Coast Guard's current location address is 410 Pennsylvania Ave # A, Petaluma, California. You can contact this provider via phone number 7079719364. The mailing address for United States Coast Guard is 410 Pennsylvania Ave # A, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | United States Coast Guard |
|---|---|
| Address | 410 Pennsylvania Ave # A, Petaluma, California |
| Phone Number | 7079719364 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC AD |
|---|---|
| Authorized Official Name | Devore Allen Todd |
| Telephone Number | 7079719364 |
NPI Number Detail
| NPI Number | 1669689568 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2008-07-08 |
Provider Mailing Address Detail
| Address | 410 Pennsylvania Ave # A |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 949529103 |
| Phone Number | 7079719364 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Military/u.s. Coast Guard Outpatient |
|---|---|
| Taxonomy | 261Qm1100X |
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Definition: 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-dep |
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What is the unique 10-digit identification code issued to United States Coast Guard by the Centers for Medicare & Medicaid Services?
The United States Coast Guard has been assigned the NPI (National Provider Identifier) 1669689568 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the United States Coast Guard's physical address?
The United States Coast Guard is physically located at 410 Pennsylvania Ave # A, in the city of Petaluma, CA, with the postal code 949529103.
What is United States Coast Guard's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The United States Coast Guard's specialized field of practice is Military/u.s. Coast Guard Outpatient, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm1100X.
On what date did the United States Coast Guard receive its 1669689568 assignment from the Centers for Medicare & Medicaid Services?
The United States Coast Guard was assigned its 1669689568 by the Centers for Medicare & Medicaid Services on 2007-05-17.
As of what date was the information regarding United States Coast Guard, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to United States Coast Guard, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-08.
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