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NPI Code Detail

MEDICARE: UNITED STATES COAST GUARD

MEDICARE: UNITED STATES COAST GUARD
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
1247200000XOther TechnicianAL

General Provider Information

NPI Number : 1487631115
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED STATES COAST GUARD
Provider Business Mailing Address
First Line : 8501 TANNER WILLIAMS RD
Second Line :
City : MOBILE
State : AL
Zip : 36608-8322
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8501 TANNER WILLIAMS RD
Second Line :
City : MOBILE
State : AL
Zip : 36608-8322
Country : US
Telephone Number : 251-441-6561
Fax Number : 251-441-6415
Authorized Official
Title or Position : LIEUTENANT
Name : MR. JOHN ALLEN
Credential :
Telephone Number : 251-441-6411
Provider Enumeration Date : 12/23/2005
Last Update Date : 08/22/2020

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Directions to “UNITED STATES COAST GUARD ” 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.

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