| Organization Name: | UNITED STATES COAST GUARD |
| NPI Number: | 1356426894 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT STEEVES (MEDICAL ADMINISTRATOR) |
| Mailing Address: | End Of Route 238 Yorktown |
| State: | VA US |
| Postal Code: | 236905000 |
| Phone Number: | 7578562302 |
| Fax Number: | 7578562276 |
| NPI Enumeration Date: | 10/25/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Military/U.S. Coast Guard Outpatient |
| Taxonomy Definition: | The Defense Health Program or U.S. Coast Guard funded |