United States Coast Guard

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

UNITED STATES COAST GUARD

Practice address

15 Mohegan Ave
New London, CT 06320-8100

Phone

(860) 444-8402

Fax

(860) 444-8413

NPI assigned

Dec 13, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Inez Dickinson

Title

Health Services Technican

Phone

(860) 449-0681

Specialties & licenses 1

Addresses

Tax ID family

United States Coast Guard2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• United States Coast Guard

  • Health Service Clinic/Center
  • Cape May, NJ
  • NPI 1144315540
  NPD tax ID

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578548699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MONROE LN",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063402434",
            "telephone_number": "860-449-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MOHEGAN AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063208100",
            "telephone_number": "860-444-8402",
            "fax_number": "860-444-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED STATES COAST GUARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "INEZ",
        "authorized_official_title_or_position": "HEALTH SERVICES TECHNICAN",
        "authorized_official_telephone_number": "860-449-0681",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Duross Turner, MD
• Rebecca Tydeman
• U. S. Coast Guard Academy
• U.S. Coast Guard
• Krystin Uguccioni, MS,APRN,WCN
• John S Urbanetti, MD
• Urologic Associates, PC
• US Coast Guard Finance Center
• V G Gautam MD PC
• Ciel Valido, BS, RT

• Clinic/Center in New London, CT
• Providers in New London, CT by specialty
• Clinic/Center in Connecticut

• 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.