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US COAST GUARD MEDICAL CLINIC NORTH BEND NPI 1770608424


NPI Information

NPI: 1770608424
Provider Name: US COAST GUARD MEDICAL CLINIC NORTH BEND
Classification: Military Health Care Provider - 171000000X
Entity Type: Organization
Address:
2000 CONNECTICUT AVE
NORTH BEND, OR
ZIP 97459
Phone: (541) 756-9234
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US COAST GUARD MEDICAL CLINIC NORTH BEND is a military health care provider in North Bend, OR. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. US COAST GUARD MEDICAL CLINIC NORTH BEND NPI is 1770608424. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2000 CONNECTICUT AVE
NORTH BEND, OR
ZIP 97459-300
Phone: (541) 756-9234
Fax: (541) 756-9617

The provider's authorized official is Stephen J Kinsley .
The authorized official title is Senior Medical Officer and has the following contact phone number (541) 756-9237.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171000000XMilitary Health Care Provider35057309OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.