NPIMap

Organization Active NPI

U.S. Coast Guard Isc Honolulu

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Honolulu, HI
National Provider Identifier
1316029259
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
U.S. COAST GUARD ISC HONOLULU
Practice address
400 Sand Island Pkwy
Health Services Division
Honolulu, HI 96819-4326
Phone
(808) 842-2930
Fax
(808) 842-2956
NPI assigned
Oct 19, 2006
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
Marc A. Butler
Title
Clinic Administrator
Phone
(808) 842-2927

Specialties & licenses 1

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

Addresses

Primary practice location

400 Sand Island Pkwy
Health Services Division
Honolulu, HI 96819-4326

Mailing address

400 Sand Island Pkwy
Health Services Division
Honolulu, HI 96819-4326
Phone (808) 842-2930

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 3

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

Locations

400 Sand Island Pkwy
Honolulu, HI 96819
Phone (808) 433-9800

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316029259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SAND ISLAND PKWY",
            "address_2": "HEALTH SERVICES DIVISION",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194326",
            "telephone_number": "808-842-2930",
            "fax_number": "808-842-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SAND ISLAND PKWY",
            "address_2": "HEALTH SERVICES DIVISION",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194326",
            "telephone_number": "808-842-2930",
            "fax_number": "808-842-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. COAST GUARD ISC HONOLULU",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "808-842-2927"
    },
    "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 Honolulu, HI

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.