USCG
NPI 1205957982
Clinic/Center - Military/U.S. Coast Guard Outpatient in Buzzards Bay, MA

Active since April 02, 2007
5439 A LEMAY AVE., BUZZARDS BAY, MA 02542(508) 968-6704 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Uscg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

USCG (NPI 1205957982) is a healthcare organization registered as a military/u.s. coast guard outpatient in Buzzards Bay, Massachusetts and active in the NPI registry since April 2007. The organization lists Wyatt Helley, Health Service Technican 3 Class, as its authorized official.

NPPES Registry Identity

NPI1205957982
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameUSCG
Location Address5439 A LEMAY AVE.Buzzards Bay, MA 02542
Mailing Address5403 A Lemay Ave.Buzzards Bay, MA 02542
Organization SubpartNo
Authorized OfficialWyatt HelleyHealth Service Technican 3 Class · (508) 968-6704
Enumeration DateApril 2, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1205957982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
Definition

The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.

5439 A LEMAY AVE., Buzzards Bay, MA 02542

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D0667841

Uscg Base Cape Cod · Buzzards Bay, MA
Active · expires Jul 19, 2027
CLIA Number22D0667841
Laboratory TypeUscg
Certificate Effective DateJuly 20, 2025
Certificate Expiration DateJuly 19, 2027
Laboratory DirectorCapt Luke Bates
Laboratory Phone(508) 968-6713
Laboratory LocationUscg Base Cape Cod5201 Lee Road, Buzzards Bay, MA 02542
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205957982, enumerated as an "organization" on April 02, 2007.

The provider is located at 5439 A LEMAY AVE. BUZZARDS BAY, MA 02542 and the phone number is (508) 968-6704.

Clinic/Center with taxonomy code 261QM1100X and a focus in Military/U.S. Coast Guard Outpatient.