COAST GUARD (NPI# 1104956325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104956325 |
| Entity Type | Organization |
| Organization Name | COAST GUARD |
| Practice Address |
1 Jarrett White Rd Tamc HI 96859-5001 |
| Mailing Address |
1629 Funston Loop Apt E 1 Jarrett White Road Honolulu HI 96819-2159 |
| Practice Telephone | 8084339794 |
| Practice Fax Number | 8084339796 |
| Mailing Telephone | 8082247351 |
| Mailing Fax Number | 8084339796 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ZACHARY FLOYD SMITH (HELTH SCVS TECHNICIAN) |
| Authorized Official Telephone | 8084339794 |
| Authorized Official Credential | HS3 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528142809 | Coast Guard | Clinic/Center | Comdt Cg-1122 2100 2nd St Sw, Suite 5314, Washington, DC 20593-0001 | 2006-10-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COAST GUARD EMPLOYEES CREDIT UNION | 500 Poydras St Rm 1226, New Orleans, LA 70130-3319 |
| System for Award Management (SAM) Entities | COAST GUARD EXCHANGE SYSTEM | 510 Independence Pkwy Ste 500, Chesapeake, VA 23320-5191 |
| Virginia Business Entities | COAST GUARD MUTUAL ASSISTANCE INCORPORATED | 1005 N Glebe Rd Ste 220, Coast Guard Mutual Assistance, Arlington, Virginia 22201-5792 |
| Oklahoma Business Registrations | COAST GUARD MUTUAL ASSISTANCE, INCORPORATED | 4200 Wilson Blvd Ste 610, Arlington, VA 22203 |
| Street Address |
1 JARRETT WHITE RD |
| City | TAMC |
| State | HI |
| Zip Code | 96859-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548268188 | Millard Dalton Brown IIi | Psychiatry & Neurology | 1 Jarrett White Rd, Tamc, HI 96859-5001 | 2005-07-08 |
| 1801092689 | Susanna Naomi Holt | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-27 |
| 1104023712 | Phuoc T Nguyen | General Practice | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-27 |
| 1205032075 | David James Peterson | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-26 |
| 1366648685 | Charles Tri Nguyen | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-24 |
| 1194920546 | Valerie Lopes Pires Edmonds | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-17 |
| 1568667970 | Jordanna M Hostler | Internal Medicine | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-15 |
| 1336343987 | Eric Michael Swanson | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-14 |
| 1083818595 | Michael Emil Stoudmire | General Practice | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-11 |
| 1700080231 | Christina B Rumayor | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115792 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tripler Medical Center, C-103, Honolulu, HI 96859 | 2020-02-07 |
| 1467726927 | Elton E Bacon | Orthotist | 1 Jarrett White Rd Dept of The Army, Attn: Orthopedic Brace Clinic (mchk-dso-a), Tripler Amc, HI 96859 | 2012-03-01 |
| 1063738813 | Defense Finance & Actg Service | Military Hospital | 691 Schofield Barracks, U.s Army Health Clinic Bldg, Wahiawa, HI 96859 | 2010-04-19 |
| 1972737153 | Kyong Su Min | Orthopaedic Surgery | 1 Jarrett White Rd Bldg 4f, Tripler Army Medical Center, HI 96859 | 2009-05-04 |
| 1558503854 | Mark Andrew Gerum | Social Worker | Tripler Army Medical Center, 1 Jarrett White Road, Intensive Outpatient Program (iop), Honolulu, HI 96859 | 2009-04-01 |
| 1578720926 | Travis Jaya Mason | Surgery | Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859 | 2008-05-21 |
| 1467513168 | Joselyn Cabalo Funtanilla Ponce | Registered Nurse | 1 Jarrett White Rd Bldg 4, Tripler Amc, HI 96859 | 2006-12-13 |
| 1346280195 | Harkirtin Kaur Mciver | Pediatrics | Tripler Army Medical Center Mchk-pe, 1 Jarrett White Road, Honolulu, HI 96859 | 2006-06-08 |
| 1043297740 | Jacqueline Seger | Registered Nurse | Tamc 1 Jarrett-white Rd., 1 Jarrett-white Rd. / Mchk-dsc, Honolulu, HI 96859 | 2005-12-23 |
| 1982694683 | Peter Marlin | Psychiatry & Neurology | Tamc, 1 Jarriet White Road, Honolulu, HI 96859 | 2005-10-24 |
| Find all providers in zip 96859 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294205 | Jdmd Partners, LLP | Clinic/Center | 1150 S King St Ste 902, Honolulu, HI 96814-1922 | 2020-10-26 |
| 1497352322 | Paurx LLC | Clinic/Center | 3118 Monsarrat Ave, Honolulu, HI 96815-4466 | 2020-10-05 |
| 1912548660 | Akamai Online Clinic LLC | Clinic/Center | 1154 Uluopihi Loop, Kailua, HI 96734-4360 | 2019-10-03 |
| 1003466996 | Cecilia Green, Np LLC | Clinic/Center | 1090 Keolu Dr Ste 107a, Kailua, HI 96734-3871 | 2019-09-13 |
| 1376010124 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 400 Keawe Street, Suite 100, Honolulu, HI 96813 | 2018-10-30 |
| 1588131320 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 449 Kapahulu Avenue, Suite 104, Honolulu, HI 96815 | 2018-10-30 |
| 1235606070 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 600 Kalanianaole Hwy, Suite 114a, Honolulu, HI 96825 | 2018-10-30 |
| 1164949558 | Queen's Development Corporation & Subsidiaries | Clinic/Center | 1380 Lusitana St Ste 804, Honolulu, HI 96813-2444 | 2017-08-25 |
| 1952839037 | Steelsmith Natural Health Center | Clinic/Center | 438 Hobron Ln Ste 314, Honolulu, HI 96815-1242 | 2017-06-01 |
| 1467998765 | Costco | Clinic/Center | 540 Haleakala Highway, Kahului, HI 96732 | 2017-01-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.