U. S. COAST GUARD (NPI# 1346211059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346211059 |
| Entity Type | Organization |
| Organization Name | U. S. COAST GUARD |
| Practice Address |
611 Airport Dr Sitka AK 99835-9436 |
| Mailing Address |
Comdt (cg-1122) 2100 2nd St Sw Room 5314 Washington DC 20593-0001 |
| Practice Telephone | 9079665438 |
| Practice Fax Number | 9079665491 |
| Mailing Telephone | 9079665438 |
| Mailing Fax Number | 9079665491 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. J RUSSELL BOWMAN (FLIGHT SURGEON) |
| Authorized Official Telephone | 9079665537 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
DC | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659359131 | U. S. Coast Guard | Health Maintenance Organization | 4000 Coast Guard Blvd, Portsmouth, VA 23703-2135 | 2006-01-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | UNITED STATES COAST GUARD ACADEMY PARENTS ASSOCIATION, INC. | 35 Elizabeth St, Knight Hall K202, Hartford, CT 06105 |
| Connecticut Business Registrations | United States Coast Guard Academy Sponsored Programs and Research, Inc | 35 Elizabeth St, Knight Hall K202, Hartford, CT 06105 |
| System for Award Management (SAM) Entities | UNITED STATES COAST GUARD ACADEMY SPONSORED PROGRAMS AND RESEARCH, INC | 47 Mohegan Ave, New London, CT 06320-8111 |
| Washington State Corporations | UNITED STATES COAST GUARD CHIEF PETTY OFFICER'S ASSOCIATION | 1519 Alaskan Way S, Seattle, WA 98134 |
| Massachusetts Corporations | UNITED STATES COAST GUARD CHIEF PETTY OFFICERS ASSOCIATES, | 5421 Carpenter Ave., Otis Afb, MA 02542 |
| Virginia Business Entities | UNITED STATES COAST GUARD CHIEF PETTY OFFICERS ASSOCIATION | 5520g Hempstead Way, Springfield, Virginia 22151 |
| Street Address |
611 AIRPORT DR |
| City | SITKA |
| State | AK |
| Zip Code | 99835-9436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134443674 | Robert Lummis | Dentist | 611 Airport Dr, Sitka, AK 99835-9436 | 2010-03-25 |
| 1285869537 | Adam Robert Hart | Technician, Other | 611 Airport Dr, Sitka, AK 99835-9436 | 2009-05-15 |
| 1447423314 | Marjorie Esther Butler | Emergency Medical Technician, Intermediate | 611 Airport Dr, Sitka, AK 99835-9436 | 2008-04-10 |
| 1740453612 | Kristin Nichole Mcdonald | Emergency Medical Technician, Intermediate | 611 Airport Dr, Sitka, AK 99835-9436 | 2008-04-10 |
| 1922160167 | Michael Daniel Bricker | Military Health Care Provider | 611 Airport Dr, Sitka, AK 99835-9436 | 2006-12-14 |
| 1811070808 | Jeffrey Charles Schaffnit | Emergency Medical Technician, Intermediate | 611 Airport Dr, Medical Dept, Sitka, AK 99835-9436 | 2006-10-23 |
| 1558444604 | Samuel Rivera | Technician, Other | 611 Airport Dr, Sitka, AK 99835-9436 | 2006-10-23 |
| 1720161623 | Oscar Cortez Villegas | Technician, Other | 611 Airport Dr, Sitka, AK 99835-9436 | 2006-10-23 |
| 1962509711 | Us Coast Guard Finance Center | Military/U.S. Coast Guard Pharmacy | 611 Airport Dr, Sitka, AK 99835-9436 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268116 | Rodney Ray Racaza | Pharmacist | 222 Tongass Drive Pharmacy, Sitka, AK 99835 | 2020-09-01 |
| 1003462052 | Tiffany Marie Johnson | Nurse's Aide | 1209 Seward Ave., Sitka, AK 99835 | 2019-08-15 |
| 1841843794 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1200 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1992358840 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1212 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1154973857 | Jeffrey Mossige | Counselor | Searhc - Raven's Way 222 Tongass Dr., Sitka, AK 99835 | 2019-07-12 |
| 1689194599 | Heather Chandler | Social Worker | 113 Metlakatla Steet, Sitka, AK 99835 | 2017-06-21 |
| 1730548462 | Southeast Alaska Regional Health Consortium | Medicare Defined Swing Bed Unit | 222 Tongass Blvd, Sitka, AK 99835 | 2016-02-23 |
| 1275967291 | Debra R Wilson | Registered Nurse | 222 Tongass Airport Road, Sitka, AK 99835 | 2013-08-27 |
| 1700167830 | Allison Richmond Allen | Physical Therapy Assistant | 12 Lifesaver Drive, Sitka, AK 99835 | 2011-09-02 |
| 1023336617 | Hollie E Mulanax | Community Health Worker | 408 Lake Street #2, Sitka, AK 99835 | 2010-05-07 |
| Find all providers in zip 99835 | ||||
| Taxonomy Code | 261QM1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military/U.S. Coast Guard Outpatient |
| 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 examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033517206 | United States Coast Guard | Clinic/Center | Base Kodiak Building N-46, Kodiak, AK 99619 | 2014-12-19 |
| 1679721864 | Bassett Army Community Hospital | Clinic/Center | 4066 Spruce St, Ft Wainwright, AK 99703-7400 | 2008-09-03 |
| 1295983591 | Bassett Army Community Hospital | Clinic/Center | 661 Arctic Road, Ft. Greely, AK 99731 | 2008-08-29 |
| 1871796615 | Bassett Army Community Hospital | Clinic/Center | 1060 Gaffney Rd Stop 7500, Mcds-dd-hos, Fort Wainwright, AK 99703-5002 | 2007-06-08 |
| 1831392679 | Bassett Army Community Hospital | Clinic/Center | 724 Postal Service Loop Stop 7500, Mcds-dd-r, Fort Richardson, AK 99505-7500 | 2007-06-08 |
| 1699877993 | Bassett Army Community Hospital | Clinic/Center | 1060 Gaffney Rd # 7420, Ft Wainwright, AK 99703-7420 | 2006-09-05 |
| 1427206630 | Bassett Army Community Hospital | Clinic/Center | 3406 Alder Ave, Ft Wainwright, AK 99703 | 2008-08-29 |
| 1730383886 | Bassett Army Community Hospital | Clinic/Center | 3406 Alder Ave, Mcds-dd-tdc, Ft Wainwright, AK 99703-5002 | 2007-06-13 |
| 1164635728 | Bassett Army Community Hospital | Clinic/Center | 724 Postal Service Loop Stop 7499, Fort Richardson, AK 99505-7499 | 2007-05-08 |
| 1497731590 | Isc Ketchikan-juneau Detachment | Clinic/Center | 709 W 9th St, Uscg Medical Room 627, Juneau, AK 99801-1807 | 2005-12-20 |
| 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.