Organization Active NPI

US Coast Guard Medical

  • Health Maintenance Organization
  • King George, VA
National Provider Identifier
1093859076
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.