NPIMap

Organization Active NPI

Uscg Sector St Petersburg Clinic

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1053076463
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
USCG SECTOR ST PETERSBURG CLINIC
Practice address
600 8TH Ave SE
St Petersburg, FL 33701-5030
Phone
(727) 502-1586
Fax
(727) 502-7593
NPI assigned
Nov 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Authorized official

Name
Hector Morales
Title
Chief Dha Pass
Phone
(210) 536-6650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary

Addresses

Primary practice location

600 8TH Ave SE
St Petersburg, FL 33701-5030

Mailing address

600 8TH Ave SE
St Petersburg, FL 33701-5030
Phone (727) 502-1586

Other names 1

  • USCG ST. PETERSBURG PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1053076463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 8TH AVE SE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337015030",
            "telephone_number": "727-502-1586",
            "fax_number": "727-502-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 8TH AVE SE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337015030",
            "telephone_number": "727-502-1586",
            "fax_number": "727-502-7593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USCG SECTOR ST PETERSBURG CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "CHIEF DHA PASS",
        "authorized_official_telephone_number": "210-536-6650"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USCG ST. PETERSBURG PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.