Uscg Clinic Sector Detroit in Selfridge Angb - Military/u.s. Coast Guard Outpatient
Uscg Clinic Sector Detroit - NPI 1477620755
Uscg Clinic Sector Detroit is a Military/u.s. Coast Guard Outpatient in Selfridge Angb, Michigan. Uscg Clinic Sector Detroit practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for Uscg Clinic Sector Detroit is 1477620755. The last update date is 2020-08-22.
Uscg Clinic Sector Detroit's current location address is 43401 N. Jefferson, Bldg 825, Selfridge Angb, Michigan. You can contact this provider via phone number 5863075017 and fax number 5863075010. The mailing address for Uscg Clinic Sector Detroit is 43401 N. Jefferson, Bldg 825, Selfridge Angb, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Uscg Clinic Sector Detroit |
|---|---|
| Address | 43401 N. Jefferson, Bldg 825, Selfridge Angb, Michigan |
| Phone Number | 5863075017 |
| Fax Number | 5863075010 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF, HEA |
|---|---|
| Authorized Official Name | Simon P Joseph |
| Credentials | M.D. |
| Telephone Number | 5863075017 |
NPI Number Detail
| NPI Number | 1477620755 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 43401 N. Jefferson, Bldg 825 |
|---|---|
| City | Selfridge Angb |
| State | Michigan (MI) |
| Post Code | 48045 |
| Phone Number | 5863075017 |
| Fax Number | 5863075010 |
Provider's Primary Taxonomy Detail
| Speciality | Military/u.s. Coast Guard Outpatient |
|---|---|
| Taxonomy | 261Qm1100X |
| Licence No | 4301062131 |
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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 assigned to Uscg Clinic Sector Detroit by the Centers for Medicare & Medicaid Services?
The Uscg Clinic Sector Detroit has been issued the NPI (National Provider Identifier) 1477620755, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Uscg Clinic Sector Detroit?
The Uscg Clinic Sector Detroit is physically situated at 43401 N. Jefferson, Bldg 825, in the city of Selfridge Angb, state of MI, with the postal code 48045.
What is the area of specialization for Uscg Clinic Sector Detroit, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Uscg Clinic Sector Detroit is Military/u.s. Coast Guard Outpatient, and the corresponding taxonomy code that categorizes this area of expertise is 261Qm1100X.
When did the Uscg Clinic Sector Detroit receive its 1477620755?
The Uscg Clinic Sector Detroit was issued its 1477620755 on 2006-11-29, which is the date when the organization was assigned this unique identifier.
When was the information related to Uscg Clinic Sector Detroit most recently updated or refreshed?
The details pertaining to the Uscg Clinic Sector Detroit, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.