Organization · Type 2 NPI
Coast Guard
Health Service Clinic/Center · Tamc, HI
NPI number
1104956325
Active
Practice location
1 Jarrett White Rd
Tamc, HI 96859-5001
Fax (808) 433-9796
Mailing address
1629 Funston Loop Apt E, 1 Jarrett White Road
Honolulu, HI 96819-2159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
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About NPI 1104956325
Coast Guard's National Provider Identifier is 1104956325, issued on Mar 6, 2007. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Tamc, HI. The record was last updated on Aug 22, 2020.