UNDERWATER CONSTRUCTION TEAM TWO (NPI# 1881952661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881952661 |
| Entity Type | Organization |
| Organization Name | UNDERWATER CONSTRUCTION TEAM TWO |
| Other Organization Name | US NAVY |
| Practice Address |
4643 Dock Road Bldg 524 Underwater Construction Team Two Port Hueneme CA 93043 |
| Practice Telephone | 8059826682 |
| Practice Fax Number | 8059823246 |
| Mailing Telephone | 8059826682 |
| Mailing Fax Number | 8059823246 |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |
| Authorized Official Name | MR. TIMOTHY J KERR (HOSPITAL CORPSMAN IDC) |
| Authorized Official Telephone | 8059826682 |
| Authorized Official Credential | DIVE IDC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3418M1110X |
Military/U.S. Coast Guard Transport Specialization: Military or U.S. Coast Guard Ambulance, Ground Transport |
Transportation Services |
| Other Name | Type Code |
|---|---|
| US Navy | Other Name - Individual/Organization |
| Street Address |
4643 DOCK ROAD BLDG 524 UNDERWATER CONSTRUCTION TEAM TWO |
| City | PORT HUENEME |
| State | CA |
| Zip Code | 93043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558852921 | Ryan Kitchens | Military Health Care Provider | 4643 Dock Road Building 524, Port Hueneme, CA 93043 | 2018-05-22 |
| 1528037108 | Thomas A Colp | Optometrist | 162 First Street, Port Hueneme, CA 93043 | 2006-03-16 |
| 1033184874 | Erwin Lee Hoffman | Pediatrics | 162 First St, Port Hueneme Amulatory Clinic Navy Base, Port Hueneme, CA 93043 | 2006-02-22 |
| 1366412157 | William Malcolm Brown IIi | Family Medicine | 1436 Pacific Avenue, Port Hueneme, CA 93043 | 2006-01-24 |
| 1316334717 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | 162 1st St Bldg 1402, Port Hueneme, CA 93043 | 2015-04-23 |
| 1033506431 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | 162 1st St Bldg 1402, Port Hueneme, CA 93043 | 2015-04-23 |
| 1740385095 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | 162 1st St, Naval Medical Center, Port Hueneme, CA 93043 | 2006-09-13 |
| 1871828723 | Seth T. Secrease | Military Health Care Provider | Naval Clinic Port Hueneme, 162 1st St, Port Hueneme, CA 93043-0001 | 2009-10-09 |
| 1396930129 | Shawn Jeremy Kern | Military Health Care Provider | Underwater Construction Team 2 Medical, 4643 Dock Road Bldg 524, Port Hueneme, CA 93043-0001 | 2007-09-14 |
| 1376754242 | Joshua William Ross | Military Health Care Provider | Naval Ambulatory Care Clinic, 162 1st Street Building 1402, Port Hueneme, CA 93043-0001 | 2007-05-24 |
| Find all providers in zip 93043 | ||||
| Taxonomy Code | 3418M1110X |
| Grouping | Transportation Services |
| Classification | Military/U.S. Coast Guard Transport |
| Specialization | Military or U.S. Coast Guard Ambulance, Ground Transport |
| Vehicle and staff for patient emergency or non-emergency ground transport. Includes traditional ambulances as well as ambulance buses. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006 modified title, added source] |
| City | PORT HUENEME |
| Zip Code | 93043 |
Please comment or provide details below to improve the information on UNDERWATER CONSTRUCTION TEAM TWO.
| 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.