U. S. COAST GUARD AVIATION TRAINING CENTER MOBILE (NPI# 1760673784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760673784 |
| Entity Type | Organization |
| Organization Name | U. S. COAST GUARD AVIATION TRAINING CENTER MOBILE |
| Practice Address |
8501 Tanner Williams Rd Mobile AL 36608-8322 |
| Practice Telephone | 2514416725 |
| Practice Fax Number | 2514416415 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |
| Authorized Official Name | MRS. PAMELA STEWART-KUHN (CHIEF, HEALTH SERVICES DIVISION) |
| Authorized Official Telephone | 2514416725 |
| Authorized Official Credential | RPH |
| 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 |
8501 TANNER WILLIAMS RD |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-8322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760467120 | Juan Esteban Palacio | Family Medicine | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2005-12-08 |
| 1447664628 | Jared Ross Rispens | Internal Medicine | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2014-06-16 |
| 1578995353 | Michael Ryan Ennis | Technician, Other | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2013-08-05 |
| 1033541156 | Us Coast Guard | Clinic/Center | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2013-07-31 |
| 1164854204 | Sigmund Frederick Basilio | Technician, Other | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2013-07-31 |
| 1437581568 | Allie Helmly | Specialist/Technologist, Other | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2013-07-31 |
| 1275803330 | Phyllis Evans | Registered Nurse | 8501 Tanner Williams Rd, Us Coast Guard Atc Mobile/hswl, Mobile, AL 36608-8322 | 2012-01-06 |
| 1447551148 | Heather Jean Ivey | Technician, Other | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2010-11-11 |
| 1447563101 | Rebecca Ann Holmes | Dental Hygienist | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2010-07-22 |
| 1578897930 | Leslie Nan Segler | Dental Assistant | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2009-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| 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 |
|---|---|---|---|---|
| 1033541156 | Us Coast Guard | Clinic/Center | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2013-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144423617 | United States Army Aeromedical Center | Clinic/Center | 4405 Innkeeper Street, Fort Rucker, AL 36362 | 2007-06-11 |
| 1932122314 | United States Army Aeromedical Center | Clinic/Center | 301 Andrews Rd, Fort Rucker, AL 36362 | 2006-07-25 |
| 1396738944 | Maxwell Afb Ambulatory Health Care Center | Clinic/Center | 300 S. Twining Street, Bldg 760, Family Practice - Yellow Team, Maxwell Afb, AL 36112 | 2005-08-30 |
| 1821410242 | Lyster Army Health Clinic | Clinic/Center | Lyster Army Health Clinic, Building 301 Andrews Avenue, Fort Rucker, AL 36362-5333 | 2014-01-21 |
| 1033532486 | Lyster Army Health Clinic | Clinic/Center | 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2014-01-21 |
| 1871796334 | Fox Army Health Center | Clinic/Center | 4100 Goss Rd Sw, Usadc-1, Huntsville, AL 35809-0001 | 2007-06-11 |
| 1790889053 | Centeral Alabama Veterans Health Care System | Clinic/Center | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2006-09-08 |
Please comment or provide details below to improve the information on U. S. COAST GUARD AVIATION TRAINING CENTER MOBILE.
| 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.