Organization · Type 2 NPI

United States Coast Guard

Military/U.S. Coast Guard Outpatient Clinic/Center · Portsmouth, VA

NPI number 1114089588 Active

Practice location

4000 Coast Guard Blvd
Portsmouth, VA 23703-2135

Mailing address

1807 Woodgate Arch
Chesapeake, VA 23320-7805

Specialties and licenses

TaxonomyCodeLicense
Military/U.S. Coast Guard Outpatient Clinic/Center Primary 261QM1100XNone listed

Military/U.S. Coast Guard Outpatient Clinic/Center: 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-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as exam…

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About NPI 1114089588

United States Coast Guard's National Provider Identifier is 1114089588, issued on Dec 14, 2006. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Portsmouth, VA. The record was last updated on Aug 22, 2020.