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United States Coast Guard
Military/U.S. Coast Guard Outpatient Clinic/Center in Petaluma, California
NPI 1669689568

United States Coast Guard is a Military/U.S. Coast Guard Outpatient Clinic/Center based in Petaluma, CA and is specialized in Military/U.S. Coast Guard Outpatient. United States Coast Guard practices in Petaluma, CA. The NPI Number for United States Coast Guard is 1669689568 and holds a License No. (California).

The current practice location address for United States Coast Guard is 410 Pennsylvania Ave # A, Petaluma, CA and can be reached out via phone at 707-971-9364.

Location: 410 Pennsylvania Ave # A, Petaluma, CA, 94952-9103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669689568
Provider Name
United States Coast Guard
Credential
Provider Entity Type
Organization
Address
410 Pennsylvania Ave # A, Petaluma, CA, 94952-9103
Phone Number
707-971-9364
Fax Number
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
410 Pennsylvania Ave # A
City
Petaluma
State
California
Zip
94952-9103
Phone Number
707-971-9364
Fax Number
person
Provider Business Mailing Address Details
Address
410 Pennsylvania Ave # A
City
Petaluma
State
California
Zip
94952-9103
Phone Number
707-971-9364
Fax Number
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.
()
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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