Provider Demographics
NPI:1568561884
Name:US COAST GUARD FINANCE CENTER
Entity Type:Organization
Organization Name:US COAST GUARD FINANCE CENTER
Other - Org Name:ELIZABETH CITY USCG PHCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF DHA PASS
Authorized Official - Prefix:
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-536-6650
Mailing Address - Street 1:US COAST GUARD FINANCE CENTER
Mailing Address - Street 2:1430 KATRINA WAY
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:23326
Mailing Address - Country:US
Mailing Address - Phone:252-335-6525
Mailing Address - Fax:252-335-6255
Practice Address - Street 1:WEEKSVILLE HWY BLDG 112
Practice Address - Street 2:
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909
Practice Address - Country:US
Practice Address - Phone:252-335-6525
Practice Address - Fax:252-335-6255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332000000XSuppliersMilitary/U.S. Coast Guard Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2069400OtherPK