CAPE COD USCG PHCY (NPI# 1932208352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932208352 |
| Entity Type | Organization |
| Organization Name | CAPE COD USCG PHCY |
| Other Organization Name | CAPE COD USCG PHCY |
| Practice Address |
Kaehler Memorial Medical Clinic 5201 Lee Rd Us Air Station Cape Cod MA 02542 |
| Mailing Address |
Us Coast Guard Finance Ctr 1430 Kristina Way Chesapeake VA 23326-0002 |
| Practice Telephone | 5089686702 |
| Practice Fax Number | 5089686620 |
| Mailing Telephone | 2105366650 |
| Mailing Fax Number | 2105366179 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2015-06-08 |
| 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 | 2039156 | 01 |
| Other Name | Type Code |
|---|---|
| CAPE COD USCG PHCY | Doing Business As Name - Organization |
| Street Address |
KAEHLER MEMORIAL MEDICAL CLINIC 5201 LEE RD US AIR STATION |
| City | CAPE COD |
| State | MA |
| Zip Code | 02542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205957982 | Uscg | Clinic/Center | 5439 A Lemay Ave., Buzzards Bay, MA 02542 | 2007-04-02 |
| 1487744660 | Adam Lee Barton | Spec/Tech, Pathology | 5648c Doolittle Ave, Buzzards Bay, MA 02542 | 2006-10-16 |
| 1104802669 | Stephen Corey Bond | Emergency Medical Technician, Basic | 5201 Lee Rd., Uscg Kaehler Memorial Medical Clinic, Buzzards Bay, MA 02542 | 2005-12-16 |
| 1033195599 | John D Hughes | Technician, Other | U.S. Coast Guard Kaehler Memorial Medical Clinic, Lee Rd. Bldg 5201, Bourne, MA 02542 | 2005-12-16 |
| 1417932997 | Michael Anthony Carr | Physician Assistant | 5201 Lee Road, Uscg Air Station Cape Cod-kaehler Memorial Med Clinic, Buzzards Bay, MA 02542 | 2005-12-07 |
| 1295711752 | Wayne Lee Burton | Technician, Other | 5201 Lee Rd, Khealer Clinic, Buzzards Bay, MA 02542 | 2005-12-16 |
| 1992780639 | Perry James Kremer | Physician Assistant | 5201 Lee Rd, Kaehler Memorial Medical Clinic, Buzzards Bay, MA 02542 | 2005-12-14 |
| 1487639506 | Uscg Airstation Cape Cod | Clinic/Center | 5201 Lee Rd, Buzzards Bay, MA 02542-1313 | 2005-12-13 |
| 1023296597 | United Stated Coast Guard | Clinic/Center | 5201 Lee Rd, Buzzards Bay, MA 02542-1313 | 2008-02-06 |
| 1780803510 | Wyatt Kyle Lunden Helley | Technician, Other | 5201 Lee Rd, Buzzards Bay, MA 02542-1313 | 2007-04-24 |
| Find all providers in zip 02542 | ||||
| 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 |
|---|---|---|---|---|
| 1760581185 | 66 Mdss-sgsr | Military/U.S. Coast Guard Pharmacy | 90 Vandenberg Dr Bldg 1900, Hanscom Afb, MA 01731-2104 | 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 |
| 1649684473 | 66 Mdss-sgsr | Military/U.S. Coast Guard Pharmacy | 90 Vandenberg Dr Bldg 1900, Hanscom Afb, MA 01731-2104 | 2014-06-19 |
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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.