US COAST GUARD FINANCE CENTER (NPI# 1114024973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114024973 |
| Entity Type | Organization |
| Organization Name | US COAST GUARD FINANCE CENTER |
| Other Organization Name | PETALUMA USCG PHCY |
| Practice Address |
599 Tomales Rd Bldg 225 Petaluma CA 94952-5002 |
| Practice Telephone | 7077657194 |
| Practice Fax Number | 7077657521 |
| Mailing Telephone | 7077657194 |
| Mailing Fax Number | 7077657521 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-08-13 |
| Authorized Official Name | HECTOR MORALES (CHIEF DHA PASS) |
| Authorized Official Telephone | 2105366650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1997601 | 01 |
| Other Name | Type Code |
|---|---|
| PETALUMA USCG PHCY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356653844 | Us Coast Guard Finance Center | Military/U.S. Coast Guard Pharmacy | 100 Trumbo Point Road, Key West, FL 33040 | 2010-07-13 |
| 1659470797 | Us Coast Guard Finance Center | Military/U.S. Coast Guard Pharmacy | 1 Uscg Training Ctr, Yorktown, VA 23690 | 2006-09-22 |
| 1104925262 | Us Coast Guard Finance Center | Military/U.S. Coast Guard Pharmacy | Bldg N46 Isc Kodiak, Kodiak, AK 99619 | 2006-09-22 |
| 1568561884 | Us Coast Guard Finance Center | Military/U.S. Coast Guard Pharmacy | Weeksville Hwy Bldg 112, Elizabeth City, NC 27909 | 2006-09-22 |
| 1285733444 | Us Coast Guard Finance Center | Military/U.S. Coast Guard Pharmacy | La Plaza Bldg 850 Rm 110, Air Station Borinquen, Aguadilla, PR 00604 | 2006-09-22 |
| 1013016179 | Us Coast Guard Finance Center | Military/U.S. Coast Guard Pharmacy | 1300 Stedman Stisc Ketchikan, Ketchikan, AK 99901 | 2006-09-22 |
| 1114026531 | Us Coast Guard Finance Center | Military/U.S. Coast Guard Pharmacy | 427 Commercial St Isc Bldg 8, Boston, MA 02109 | 2006-09-22 |
| 1164529913 | Us Coast Guard Finance Center | Military/U.S. Coast Guard Pharmacy | 1 Munro Ave Bldg 270, Cape May, NJ 08204-5000 | 2006-09-20 |
| 1558468306 | Us Coast Guard Finance Center | Pharmacy | 103 Opa Locka Airport, Opa Locka, FL 33054-2325 | 2006-09-20 |
| 1932206794 | Us Coast Guard Finance Center | Military/U.S. Coast Guard Pharmacy | Coast Guard Island Bldg 1, Alameda, CA 94501 | 2006-09-20 |
| Street Address |
599 TOMALES RD BLDG 225 |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
| 1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
| 1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
| 1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
| Find all providers in zip 94952 | ||||
| Taxonomy Code | 332000000X |
| Grouping | Suppliers |
| Classification | Military/U.S. Coast Guard Pharmacy |
| A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538239215 | Petaluma Tracen Uscg Phcy | Military/U.S. Coast Guard Pharmacy | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952765125 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | 135 Santa Margarita Rd, Camp Pendelton, CA 92055 | 2016-04-13 |
| 1821485152 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Hospital Camp Pendelton, 200 Mercy Circle, Camp Pendelton, CA 92055 | 2015-04-24 |
| 1275948143 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Basilone Road, Bldg 520450, Camp Pendleton, CA 92055 | 2014-06-30 |
| 1265846323 | Naval Medical Center San Diego | Military/U.S. Coast Guard Pharmacy | 34800 Bob Wilson Dr Ste 3, San Diego, CA 92134-1003 | 2014-06-17 |
| 1285048348 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | 41 Area Las Flores Nelson, Bldg 414006, Camp Pendleton, CA 92055 | 2014-06-17 |
| 1205249042 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | 13 Area Branch Medic, Bldg 13129 14th St, Camp Pendelton, CA 92055 | 2014-06-10 |
| 1275946444 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Hq Regiment, 16th Street, Camp Pendelton, CA 92055 | 2014-06-05 |
| 1366855538 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Hq Reg 1 Mlg Ras, Bldg 14008, Camp Pendelton, CA 95008 | 2014-06-05 |
| 1841603248 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Branch Medical Clinic Naf, Bldg 23, El Centro, CA 92055 | 2014-06-04 |
| 1043622681 | David S Grant Medical Center | Military/U.S. Coast Guard Pharmacy | 461 Skymaster Cir Rm 149, Travis Afb, CA 94535-1909 | 2014-06-02 |
| Find all providers with the same taxonomy | ||||
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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.