NPIMap

Organization Active NPI

Uscg Ralph Nix Medical

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Washington, DC
National Provider Identifier
1285759712
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
USCG RALPH NIX MEDICAL
Practice address
Uscg HQ Comdt (CG-1122)
2100 Second Street South West
Washington, DC 20593-0001
Phone
(202) 475-5181
Fax
(202) 475-5909
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Brandelle Marie Delph, EMT-B
Title
Health Services Technician
Phone
(707) 765-7702

Specialties & licenses 1

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

Addresses

Primary practice location

Uscg HQ Comdt (CG-1122)
2100 Second Street South West
Washington, DC 20593-0001

Mailing address

Uscg HQ Comdt (CG-1122)
2100 Second Street South West
Washington, DC 20593-0001
Phone (202) 475-5181

National Provider Directory

National Provider Directory
Tax ID family
Uscg Clinic St Petersburg65 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

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

Locations

2100 2nd St SW
Washington, DC 20024
Phone (202) 475-5181

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1285759712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USCG HQ COMDT (CG-1122)",
            "address_2": "2100 SECOND STREET SOUTH WEST",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205930001",
            "telephone_number": "202-475-5181",
            "fax_number": "202-475-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USCG HQ COMDT (CG-1122)",
            "address_2": "2100 SECOND STREET SOUTH WEST",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205930001",
            "telephone_number": "202-475-5181",
            "fax_number": "202-475-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USCG RALPH NIX MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "DELPH",
        "authorized_official_first_name": "BRANDELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "HEALTH SERVICES TECHNICIAN",
        "authorized_official_telephone_number": "707-765-7702",
        "authorized_official_credential": "EMT-B"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.