USCG ISC BOSTON (NPI# 1578648093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578648093 |
| Entity Type | Organization |
| Organization Name | USCG ISC BOSTON |
| Practice Address |
427 Commercial Street Boston MA 02109 |
| Practice Telephone | 6172233121 |
| Practice Fax Number | 6172233038 |
| Mailing Telephone | 6172233121 |
| Mailing Fax Number | 6172233038 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DIANA RODRIGUEZ (CHIEF, HEALTH SERVICES DIVISION) |
| Authorized Official Telephone | 6172233121 |
| 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 |
Ambulatory Health Care Facilities |
| Street Address |
427 COMMERCIAL STREET |
| City | BOSTON |
| State | MA |
| Zip Code | 02109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477167385 | Hidden Gems Counseling LLC | Clinic/Center | 6 Liberty Sq, Pmb 452, Boston, MA 02109 | 2020-09-08 |
| 1710596697 | Boston Center for Health Psychology and Biofeedback, LLC | Psychologist | 10 Post Office Sq., Ste 800 South, Boston, MA 02109 | 2020-07-27 |
| 1568925311 | Robyn Kievit LLC | Dietitian, Registered | 112 Water Street Suite 203, Boston, MA 02109 | 2019-04-09 |
| 1023503786 | Merissa Wright | Behavior Technician | 8 Faneuil Hall Marketplace, 3rd Floor, Boston, MA 02109 | 2018-06-26 |
| 1366961310 | Christine Anna Corallino | Nurse Practitioner | 14 Foster Street, #3, Boston, MA 02109 | 2017-09-11 |
| 1609322858 | Katelyn Patricia Cloutier | Physical Therapist | 4 Water Street, Boston, MA 02109 | 2016-08-28 |
| 1033546700 | Haidang Truong Kelly | Nurse Practitioner | 147 Milk St Fl 3, Boston, MA 02109 | 2013-09-26 |
| 1467701821 | One Medical Group, PC | Internal Medicine | 28 State Street, Suite 2850, Boston, MA 02109 | 2012-08-31 |
| 1326218397 | Monica E. Zuniga | Counselor | 112 Water St Ste 203, Boston, MA 02109 | 2008-03-06 |
| 1124215298 | Martin B Silverstein | Internal Medicine | 53 State Street, Boston Consulting Group Exchange Place, Boston, MA 02109 | 2007-10-02 |
| Find all providers in zip 02109 | ||||
| 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 |
|---|---|---|---|---|
| 1205957982 | Uscg | Clinic/Center | 5439 A Lemay Ave., Buzzards Bay, MA 02542 | 2007-04-02 |
| 1225243140 | Keller Army Community Hospital | Clinic/Center | 42 Kansas St, Soldier Service Center, Natick, MA 01760-2642 | 2007-05-14 |
| 1093835977 | Us Coast Guard | Clinic/Center | 5201 Lee Rd, Buzzards Bay, MA 02542-1313 | 2007-04-02 |
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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.