Uscg Sector North Bend Medical Facility

Primary specialty

Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X

Legal business name

USCG SECTOR NORTH BEND MEDICAL FACILITY

Doing business as

Uscg North Bend Pharmacy

Practice address

1655 Maple Stmartin J Neimeroff CL
North Bend, OR 97459

Phone

(541) 756-9234

Fax

(541) 756-9617

NPI assigned

Jul 21, 2021

Last updated

Jul 21, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

USCG SECTOR NORTH BEND MEDICAL FACILITYAs reported in NPPES

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

Authorized official

Name

Hector Morales

Title

Chief Dha Pass

Phone

(210) 536-6650

Specialties & licenses 1

Addresses

Other names 1

• USCG NORTH BEND PHARMACY Doing business as

Part of

Uscg Sector North Bend Medical Facility

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1770156317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 MAPLE STMARTIN J NEIMEROFF CL",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "97459",
            "telephone_number": "541-756-9234",
            "fax_number": "541-756-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 MAPLE STMARTIN J NEIMEROFF CL",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "97459",
            "telephone_number": "541-756-9234",
            "fax_number": "541-756-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USCG SECTOR NORTH BEND MEDICAL FACILITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "USCG SECTOR NORTH BEND MEDICAL FACILITY",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "CHIEF DHA PASS",
        "authorized_official_telephone_number": "210-536-6650"
    },
    "taxonomies": [
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USCG NORTH BEND PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yi-Ting Tsai
• Marka Leigh Turner, LCSW
• Paige Emily Undseth, COTA/L
• Rebecca Sue Unruh
• US Coast Guard Medical Clinic North Bend
• Rebekah Hope Uskoski, M.A.
• Jamie Angela Vanderhoof, RN
• Victoria Velasquez
• Barbara Andrea Vielma, LMFT
• Gabriel E Vigil

• Military/U.S. Coast Guard Pharmacy in North Bend, OR
• Providers in North Bend, OR by specialty
• Military/U.S. Coast Guard Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.