Uscg Isc Boston in Boston - Military/u.s. Coast Guard Outpatient
Uscg Isc Boston - NPI 1578648093
Uscg Isc Boston is a Military/u.s. Coast Guard Outpatient in Boston, Massachusetts. Uscg Isc Boston practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for Uscg Isc Boston is 1578648093. The last update date is 2020-08-22.
Uscg Isc Boston's current location address is 427 Commercial Street, Boston, Massachusetts. You can contact this provider via phone number 6172233121 and fax number 6172233038. The mailing address for Uscg Isc Boston is 427 Commercial Street, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Uscg Isc Boston |
|---|---|
| Address | 427 Commercial Street, Boston, Massachusetts |
| Phone Number | 6172233121 |
| Fax Number | 6172233038 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF, HEA |
|---|---|
| Authorized Official Name | Rodriguez Diana |
| Credentials | MD |
| Telephone Number | 6172233121 |
NPI Number Detail
| NPI Number | 1578648093 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 427 Commercial Street |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 2109 |
| Phone Number | 6172233121 |
| Fax Number | 6172233038 |
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 Uscg Isc Boston's 1578648093?
The Uscg Isc Boston's NPI (National Provider Identifier) Number is 1578648093. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Uscg Isc Boston located?
The Uscg Isc Boston is located at 427 Commercial Street, Boston, MA 2109.
What is Uscg Isc Boston's specialized field of practice, and what is the corresponding taxonomy classification code?
The Uscg Isc Boston's area of specialization is Military/u.s. Coast Guard Outpatient, and the corresponding taxonomy code that categorizes this field of practice is 261Qm1100X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578648093 to Uscg Isc Boston?
The Centers for Medicare & Medicaid Services originally issued the 1578648093 to Uscg Isc Boston on 2006-10-25.
When was the information pertaining to Uscg Isc Boston most recently updated or revised?
The details related to Uscg Isc Boston, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.