Ellington Field Satellite Clinic

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

Legal business name

ELLINGTON FIELD SATELLITE CLINIC

Practice address

Commanding Officer Uscg Air Station Houston
1178 Ellington Field
Houston, TX 77034

Phone

(281) 929-2421

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Rita Shapiro

Title

CDR

Phone

(202) 475-5182

Specialties & licenses 1

Addresses

Tax ID family

Uscg Clinic St Petersburg65 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

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

• US Coast Guard Sector Field Office Galveston Health Services Dept

  • Clinic/Center
  • Galveston, TX
  • NPI 1306922331
  NPD tax ID

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689736670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMDT (CG-1122) US COAST GUARD",
            "address_2": "2100 2ND ST STE 5314",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205930001",
            "telephone_number": "202-475-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMANDING OFFICER USCG AIR STATION HOUSTON",
            "address_2": "1178 ELLINGTON FIELD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77034",
            "telephone_number": "281-929-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLINGTON FIELD SATELLITE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "CDR",
        "authorized_official_telephone_number": "202-475-5182"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elli-Care Health Support
• Jada Mercedes Elliard, MS
• Sridevi Ellickal, MD
• Justine D Elling, NP
• Kariana Ellingsen, LPC-A
• Roslyn Ellington, FNP
• Lakaesha Andrea Elliott-Reed
• Alexis May Elliott, MD
• Courtney Elliott
• David Reed Elliott, MD

• Military/U.S. Coast Guard Outpatient Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in Texas

• 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.