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Us Coast Guard
Military/U.S. Coast Guard Outpatient Clinic/Center in San Diego, California
NPI 1538480298

Us Coast Guard is a Military/U.S. Coast Guard Outpatient Clinic/Center based in San Diego, CA and is specialized in Military/U.S. Coast Guard Outpatient. Us Coast Guard practices in San Diego, CA. The NPI Number for Us Coast Guard is 1538480298 and holds a License No. 0101056076 (California).

The current practice location address for Us Coast Guard is 2051 Cushing Road, San Diego, CA and can be reached out via phone at 619-524-5204 and via fax at 619-524-4459.

Location: 2051 Cushing Road, San Diego, CA, 92106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538480298
Provider Name
Us Coast Guard
Credential
Provider Entity Type
Organization
Address
2051 Cushing Road, San Diego, CA, 92106
Phone Number
619-524-5204
Fax Number
619-524-4459
Provider Enumeration Date
06/17/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2051 Cushing Road
City
San Diego
State
California
Zip
92106
Phone Number
619-524-5204
Fax Number
619-524-4459
person
Provider Business Mailing Address Details
Address
2051 Cushing Road
City
San Diego
State
California
Zip
92106
Phone Number
619-524-5204
Fax Number
619-524-4459
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military/U.S. Coast Guard Outpatient
Taxonomy
261QM1100X
License No.
0101056076 (Virginia)
Definition
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.
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