| Organization Name: | USCG AIRSTA SACRAMENTO |
| NPI Number: | 1013187566 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROGER JOHN HARRIS (APA-C) |
| Mailing Address: | 5342 Dudley Blvd Mcclellan |
| State: | CA US |
| Postal Code: | 956521012 |
| Phone Number: | 9165617568 |
| Fax Number: | |
| NPI Enumeration Date: | 03/11/2008 |
| NPI Last Update Date: | 03/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2865M2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Military Hospital |
| Taxonomy Specialization: | Military General Acute Care Hospital |
| Taxonomy Definition: | A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in |