OrganizationActive
U. S. Coast Guard
NPI 1659359131 · Health Maintenance Organization · Portsmouth, VA
Provider details
- NPI number
- 1659359131
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Charles Weiss, Health Services Technician(757) 483-8597
Specialties & taxonomies
Managed Care Organizations
Practice location
4000 Coast Guard Blvd
Portsmouth, VA 23703-2135
Phone: (757) 483-8597
Fax: (757) 483-8610
Approximate (ZIP-level) locationGet directions
Mailing address
4000 Coast Guard Blvd
Portsmouth, VA 23703-2135
Registry dates
- Enumerated
- 2006-01-05
- 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.