Healthcare Provider Details

I. General information

NPI: 1922184944
Provider Name (Legal Business Name): US COAST GUARD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1519 ALASKAN WAY SOUTH USCGC MELLON (WHEC 717)
SEATTLE WA
98134
US

IV. Provider business mailing address

1519 ALASKAN WAY SOUTH USCGC MELLON (WHEC 717)
SEATTLE WA
98134
US

V. Phone/Fax

Practice location:
  • Phone: 206-217-6290
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number StateWA

VIII. Authorized Official

Name: ERIC F HAMMERMEISTER
Title or Position: HEALTH SERVICES TECHNICIAN
Credential:
Phone: 206-217-6290