Organization Active NPI

US Coast Guard

  • Health Service Clinic/Center
  • Upper Marlboro, MD
National Provider Identifier
1609910603
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
US COAST GUARD
Practice address
4807 King John Way
Upper Marlboro, MD 20772-5983
Phone
(202) 372-4102
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
Mr. Antonio D Cole, CHIEF HEALTH SERVICENPI 1205232485
Title
HSC
Phone
(202) 372-4102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

4807 King John Way
Upper Marlboro, MD 20772-5983

Mailing address

4807 King John Way
Upper Marlboro, MD 20772-5983

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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": "1609910603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 KING JOHN WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 KING JOHN WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725983",
            "telephone_number": "202-372-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US COAST GUARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "HSC",
        "authorized_official_telephone_number": "202-372-4102",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CHIEF HEALTH SERVICE"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

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.