United States Coast Guard

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

24720000X Issued in VA

Legal business name

UNITED STATES COAST GUARD

Practice address

30 Urbanna Creek CT
Saluda, VA 23149-3075

Phone

(804) 758-1631

NPI assigned

Oct 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Ray Mitchell Jr., M.A.NPI 1326136193

Title

Health Service Technician

Phone

(757) 856-2230

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Ray Mitchell Jr., MA

  • Other Technician
  • Washington, DC
  • NPI 1326136193
  Authorized official Same address or phone

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649366980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 URBANNA CREEK CT",
            "city": "SALUDA",
            "state": "VA",
            "postal_code": "231493075",
            "telephone_number": "804-758-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 URBANNA CREEK CT",
            "city": "SALUDA",
            "state": "VA",
            "postal_code": "231493075",
            "telephone_number": "804-758-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED STATES COAST GUARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "HEALTH SERVICE TECHNICIAN",
        "authorized_official_telephone_number": "757-856-2230",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "VA",
            "license": "24720000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Sauter
• Melissa South, L.C.S.W.
• Shannon Lee Stone, NP
• Three Rivers Health District
• William Theodore Tweel Jr., MD

• Health Service Clinic/Center in Saluda, VA
• Providers in Saluda, VA by specialty
• Health Service Clinic/Center in Virginia

• 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.