Organization Active NPI

US Coast Guard

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Baltimore, MD
National Provider Identifier
1811228422
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
US COAST GUARD
Practice address
2401 Hawkins Point Rd
Baltimore, MD 21226-1797
Phone
(410) 636-7506
NPI assigned
Jan 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Ms. Jillynda Williams
Title
HSC
Phone
(410) 636-7506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary

Addresses

Primary practice location

2401 Hawkins Point Rd
Baltimore, MD 21226-1797

Mailing address

2401 Hawkins Point Rd
Baltimore, MD 21226-1797

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1811228422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 HAWKINS POINT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212261797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 HAWKINS POINT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212261797",
            "telephone_number": "410-636-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US COAST GUARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JILLYNDA",
        "authorized_official_title_or_position": "HSC",
        "authorized_official_telephone_number": "410-636-7506",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.