OrganizationActive
Logistics Health Incorporated
NPI 1043668775 · Military/U.S. Coast Guard Outpatient Clinic/Center · Bowie, MD
Provider details
- NPI number
- 1043668775
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stacey Santiago, NP(256) 508-9034
- License
- R 187467 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4201 Northview Dr Ste 410
Bowie, MD 20716-2668
Phone: (240) 644-5570
Approximate (ZIP-level) locationGet directions
Mailing address
12 Indian Grass Ct
Germantown, MD 20874-2930
Registry dates
- Enumerated
- 2016-06-03
- Last updated
- 2016-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.