CRAIG STEVEN BOSLEY
Complete NPI Record 1003009267
Military Health Care Provider - Independent Duty Corpsman in Santa Rita, GU

NPI Status: Active since August 21, 2007

Contact Information

10 OROTE POINT RD
SANTA RITA, GU
ZIP 96915
Phone: (671) 564-9098

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Complete NPI Dataset

The following table represents the complete dataset for NPI number 1003009267. The table includes a list of all field names, values and definitions of the full NPI record. This dataset is available for download in CSV format using the "Download NPI" button below at the end of the table.

Name Value Definition
NPI1003009267The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code1Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Last Name Legal NameBOSLEYThe last name of the provider. If the provider is an individual, this is the legal name.
Provider First NameCRAIGThe first name of the provider, if the provider is an individual.
Provider Middle NameSTEVENThe middle name of the provider, if the provider is an individual.
Provider First Line Business Mailing Address10 OROTE POINT RDThe first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City NameSANTA RITAThe city name in the mailing address of the provider being identified.
Provider Business Mailing Address State NameGUThe State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code969151130The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S USThe country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number6715649098The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider First Line Business Practice Location Address10 OROTE POINT RDThe first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameSANTA RITAThe city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameGUThe State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code969151130The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S USThe country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number6715649098The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date8/21/2007The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date8/21/2007The date that a record was last updated or changed.
Provider Gender CodeMThe code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 11710I1002XCode designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1Y
Is Sole ProprietorNCode indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No