United States Coast Guard

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

Legal business name

UNITED STATES COAST GUARD

Practice address

Base Kodiak Building N-46
Kodiak, AK 99619

Phone

(907) 487-5757

NPI assigned

Dec 19, 2014

Last updated

Dec 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Stephanie Lubbers

Title

Corpsman

Phone

(907) 487-5757

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Katelyn Braswell

  • Other Technician
  • Kodiak, AK
  • NPI 1124416151
  NPD (past)

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1033517206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BASE KODIAK BUILDING N-46 CAPE SARICHEF",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "99619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BASE KODIAK BUILDING N-46",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "99619",
            "telephone_number": "907-487-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED STATES COAST GUARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "LUBBERS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CORPSMAN",
        "authorized_official_telephone_number": "907-487-5757",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swanberg Human Services, LLC
• Cori D Taylor
• Catherine Anna Thrasher, HEALTH SERVICES TECH
• Hans Ulrich Tschersich, MD
• Mindy Ann Tucker
• US Coast Guard Finance Center (Kodiak Uscg Phcy)
• Linda Van Mun
• Joanne Vaudrin
• Viewcrest Assisted Living Home
• Pureza Villaran

• Military/U.S. Coast Guard Outpatient Clinic/Center in Kodiak, AK
• Providers in Kodiak, AK by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.