Provider Demographics
NPI:1356426894
Name:UNITED STATES COAST GUARD
Entity type:Organization
Organization Name:UNITED STATES COAST GUARD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:STEEVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-856-2302
Mailing Address - Street 1:END OF ROUTE 238
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23690-5000
Mailing Address - Country:US
Mailing Address - Phone:757-856-2302
Mailing Address - Fax:757-856-2276
Practice Address - Street 1:END OF ROUTE 238
Practice Address - Street 2:
Practice Address - City:YORKTOWN
Practice Address - State:VA
Practice Address - Zip Code:23690-5000
Practice Address - Country:US
Practice Address - Phone:757-856-2302
Practice Address - Fax:757-856-2276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1100XAmbulatory Health Care FacilitiesClinic/CenterMilitary/U.S. Coast Guard Outpatient