NPIMap

Organization Active NPI

Uscg Airsta Sacramento

  • Military General Acute Care Hospital
  • McClellan, CA
National Provider Identifier
1013187566
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military General Acute Care HospitalTaxonomy code 2865M2000X
Legal business name
USCG AIRSTA SACRAMENTO
Practice address
5342 Dudley Blvd
McClellan, CA 95652-1012
Phone
(916) 561-7568
NPI assigned
Mar 11, 2008
Last updated
Mar 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Roger John Harris
Title
Apa-C
Phone
(916) 561-7568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military General Acute Care Hospital 2865M2000X Primary

Addresses

Primary practice location

5342 Dudley Blvd
McClellan, CA 95652-1012

Mailing address

6037 Price Ave
McClellan, CA 95652-2400

National Provider Directory

National Provider Directory
Tax ID family
US Coast Guard65 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 8

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

6037 Price Ave
McClellan, CA 95652
Phone (916) 561-7568

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1013187566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6037 PRICE AVE",
            "city": "MCCLELLAN",
            "state": "CA",
            "postal_code": "956522400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5342 DUDLEY BLVD",
            "city": "MCCLELLAN",
            "state": "CA",
            "postal_code": "956521012",
            "telephone_number": "916-561-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USCG AIRSTA SACRAMENTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "APA-C",
        "authorized_official_telephone_number": "916-561-7568",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McClellan, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.