MEDICARE: TIM ANDREW COFFEY IDC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1710I1002X	Independent Duty Corpsman		CA

General Provider Information

NPI Number	:	1487621942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIM ANDREW COFFEY IDC

Provider Business Mailing Address
First Line	:	13017 42ND AVE SE
Second Line	:
City	:	EVERETT
State	:	WA
Zip	:	98208
Country	:	US
Telephone Number	:	425-337-3843
Fax Number	:

Provider Business Practice Location Address
First Line	:	MEDICAL DEPARTMENT USS ABRAHAM LINCOLN
Second Line	:	FPO-AP
City	:	EVERETT
State	:	WA
Zip	:	96612-2872
Country	:	US
Telephone Number	:	425-304-5123
Fax Number	:	425-304-5166

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1124475272 — CRANE HARDWARE LLC
Practice Location Address:

4610 EVERGREEN WAY STE 8
EVERETT, WA
98203-2872

Practice Phone: 425-324-4053
Practice Fax:

1720064611 — DR. RICHARD P. CAMPBELL DDS
Practice Location Address:

USS ABRAHAM LINCOLN (CVN 72)
FPO, AP
96612-2872

Practice Phone: 425-304-5092
Practice Fax:

1447213665 — MR. JAMES ARTHUR LESSARD PA-C
Practice Location Address:

USS ABRAHAM LINCOLN # 72
FPO, AP
96612-2872

Practice Phone: 757-817-3943
Practice Fax:

1639428667 — WADE ROBERT KERNAN IDC
Practice Location Address:

USS ABRAHAM LINCOLN , CVN 72
FPO, AP
96612-2872

Practice Phone: 757-444-5199
Practice Fax:

1760809503 — MRS. RHIANNON E MOSCARELLI IDC
Practice Location Address:

USS ABRAHAM LINCOLN (CVN 72) , UNIT 100349 BOX 1
FPO, AE
09520-2872

Practice Phone: 757-534-0097
Practice Fax:

1124668397 — KERRI IRENE CODVILLE
Practice Location Address:

12812 3RD AVE SE STE A
EVERETT, WA
98208-6455

Practice Phone: 425-312-3904
Practice Fax:

Directions to “ TIM ANDREW COFFEY IDC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.