OrganizationActive
Coast Guard
NPI 1528142809 · Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center · Washington, DC
Provider details
- NPI number
- 1528142809
- Entity type
- Organization
- Primary specialty
- Military and U.S. Coast Guard Ambulatory Procedure Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Richard Jackson, Supervisor
Practice location
Comdt Cg-1122 2100 2nd St Sw
Suite 5314
Washington, DC 20593-0001
Phone: (508) 968-6572
Fax: (508) 968-6581
Mailing address
Comdt Cg-1122 2100 2nd St Sw
Washington, DC 20593-0001
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.