Uscg Isc San Pedro Clinic in Washington - Military/u.s. Coast Guard Outpatient

Uscg Isc San Pedro Clinic - NPI 1003968942

Uscg Isc San Pedro Clinic is a Military/u.s. Coast Guard Outpatient in Washington, District Of Columbia. Uscg Isc San Pedro Clinic practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for Uscg Isc San Pedro Clinic is 1003968942. The last update date is 2020-08-22.

Uscg Isc San Pedro Clinic's current location address is 2100 2nd St Sw, Washington, District Of Columbia. You can contact this provider via phone number 2022670801. The mailing address for Uscg Isc San Pedro Clinic is 2100 2nd St Sw, Washington, District Of Columbia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Uscg Isc San Pedro Clinic
Address 2100 2nd St Sw, Washington, District Of Columbia
Phone Number 2022670801
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CLINIC ADM
Authorized Official Name Romero David
Telephone Number 3107327500

NPI Number Detail

NPI Number 1003968942
Provider Enumeration Date 2007-01-18
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2100 2nd St Sw
City Washington
State District Of Columbia (DC)
Post Code 205930002
Phone Number 2022670801
Fax Number

Provider's Primary Taxonomy Detail

Speciality Military/u.s. Coast Guard Outpatient
Taxonomy 261Qm1100X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
24720000X DC 24720000X

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FAQs about Uscg Isc San Pedro Clinic

What is the Uscg Isc San Pedro Clinic's unique identification number?

The Uscg Isc San Pedro Clinic has been assigned the NPI (National Provider Identifier) Number 1003968942 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Uscg Isc San Pedro Clinic is geographically located?

The Uscg Isc San Pedro Clinic is physically situated at the following location: 2100 2Nd St Sw, Washington, DC, 205930002.

What is the Uscg Isc San Pedro Clinic's specialty and taxonomy code?

The Uscg Isc San Pedro Clinic's specialty is Military/u.s. Coast Guard Outpatient, and the corresponding taxonomy code is 261Qm1100X.

When did Uscg Isc San Pedro Clinic receive its 1003968942 assignment?

The Uscg Isc San Pedro Clinic was assigned its 1003968942 on 2007-01-18, which is the date when this unique identifier was issued to the organization.

When was the information regarding Uscg Isc San Pedro Clinic, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Uscg Isc San Pedro Clinic, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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