Medical Department Uscg

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

Legal business name

MEDICAL DEPARTMENT USCG

Practice address

2000 Connecticut Ave
North Bend, OR 97459-2300

Phone

(541) 156-9159

Fax

(541) 156-9617

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Radoslaw Alexander Florczak

Title

Health Technician

Phone

(541) 156-9159

Specialties & licenses 1

Addresses

Other names 1

• US COAST GUARD Other name

Locations

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407054323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL DEPARTMENT USCG AIR STATION",
            "address_2": "2000 CONNECTICUT AVE.",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592399",
            "telephone_number": "541-156-9159",
            "fax_number": "541-156-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CONNECTICUT AVE",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592300",
            "telephone_number": "541-156-9159",
            "fax_number": "541-156-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DEPARTMENT USCG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLORCZAK",
        "authorized_official_first_name": "RADOSLAW",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "HEALTH TECHNICIAN",
        "authorized_official_telephone_number": "541-156-9159"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "US COAST GUARD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David McDaniel
• Deanna McDermott, FNP
• Timothy McDonald
• Dawn McElhaney, FNP
• Stewart McGowan
• Ashley Marie Melick, RN
• Annessa M Melland, PHARMD
• Stacey Messner, RPH
• Bryan Michaels, QMHA
• Melanie Ruth Middleton, LPC

• Military Health Care Provider in North Bend, OR
• Providers in North Bend, OR by specialty
• Military Health Care Provider in Oregon

• 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.