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U.S. COAST GUARD ISC HONOLULU
NPI 1316029259
Clinic/Center - Military/U.S. Coast Guard Outpatient in Honolulu, HI

Active since October 19, 2006
400 SAND ISLAND PKWY, HEALTH SERVICES DIVISION, HONOLULU, HI 96819(808) 842-2930(808) 842-2956 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About U.s. Coast Guard Isc Honolulu NPPES

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

U.S. COAST GUARD ISC HONOLULU (NPI 1316029259) is a healthcare organization registered as a military/u.s. coast guard outpatient in Honolulu, Hawaii and active in the NPI registry since October 2006. The organization lists Marc A. Butler, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1316029259
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameU.S. COAST GUARD ISC HONOLULU
Location Address400 SAND ISLAND PKWY, HEALTH SERVICES DIVISIONHonolulu, HI 96819-4326
Mailing Address400 Sand Island Pkwy, Health Services DivisionHonolulu, HI 96819-4326 · (808) 842-2930 · Fax (808) 842-2956
Phone(808) 842-2930
Fax(808) 842-2956
Organization SubpartNo
Authorized OfficialMarc A. ButlerClinic Administrator · (808) 842-2927
Enumeration DateOctober 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1316029259 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.
400 SAND ISLAND PKWY, Honolulu, HI 96819
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ERIC JOHN FIALKOWSKI R.T. (R) ARRT
Technician, Other
400 SAND ISLAND PKWY, ISC MEDICAL
HONOLULU, HI 96819
Honolulu County (808) 842-2930
SHERRY JUN GRACEY PSY.D.
Psychologist (Clinical)
400 SAND ISLAND PKWY
HONOLULU, HI 96819
Honolulu County (808) 864-5444
MEGAN ELAINE LEONARD
Technician, Other
400 SAND ISLAND PKWY, MEDICAL
HONOLULU, HI 96819
Honolulu County (808) 842-2930
HEIDI MARIE RONNFELDT
Military Health Care Provider
400 SAND ISLAND PKWY
HONOLULU, HI 96819
Honolulu County (808) 433-9800
MR. EARL JOSEPH GARRIDO JR. IDHS
Military Health Care Provider (Independent Duty Corpsman)
400 SAND ISLAND PKWY
HONOLULU, HI 96819
Honolulu County (808) 842-2729
MICHELLE SYLVIA HOVSEPIAN IDHS
Military Health Care Provider (Independent Duty Medical Technicians)
400 SAND ISLAND PKWY
HONOLULU, HI 96819
Honolulu County (808) 842-2930
BIANCA SKY CLARA LOCKLEAR
Military Health Care Provider (Independent Duty Medical Technicians)
400 SAND ISLAND PKWY
HONOLULU, HI 96819
Honolulu County (808) 277-0648
KENNETH A. DAVIS
Military Health Care Provider (Independent Duty Medical Technicians)
400 SAND ISLAND PKWY, CGC KUKUI (WLB-203)
HONOLULU, HI 96819
Honolulu County (808) 842-2860

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is U.S. Coast Guard Isc Honolulu's NPI number?

The NPI number for U.S. Coast Guard Isc Honolulu is 1316029259. It was assigned to this organization in the NPPES registry on October 19, 2006.

Where is U.S. Coast Guard Isc Honolulu located?

U.S. Coast Guard Isc Honolulu is located at 400 Sand Island Pkwy Health Services Division, Honolulu, HI 96819. The listed phone number is (808) 842-2930.

What is U.S. Coast Guard Isc Honolulu's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

When was this NPI record last updated?

The NPPES record for U.S. Coast Guard Isc Honolulu was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.