Active NPI
US Coast Guard Medical
- Health Maintenance Organization
- King George, VA
National Provider Identifier
1093859076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- US COAST GUARD MEDICAL
- Practice address
- 1220 Winfield CT
King George, VA 22485-6771 - Phone
- (540) 775-7834
- NPI assigned
- Feb 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vikki Denise Villoch
- Title
- Health Service Technician
- Phone
- (202) 372-4100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary |
Addresses
Primary practice location
1220 Winfield CT
King George, VA 22485-6771
Mailing address
1220 Winfield CT
King George, VA 22485-6771
Phone (540) 775-7834
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1093859076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 WINFIELD CT",
"city": "KING GEORGE",
"state": "VA",
"postal_code": "224856771",
"telephone_number": "540-775-7834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 WINFIELD CT",
"city": "KING GEORGE",
"state": "VA",
"postal_code": "224856771",
"telephone_number": "540-775-7834"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "US COAST GUARD MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VILLOCH",
"authorized_official_first_name": "VIKKI",
"authorized_official_middle_name": "DENISE",
"authorized_official_title_or_position": "HEALTH SERVICE TECHNICIAN",
"authorized_official_telephone_number": "202-372-4100"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in King George, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.