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ISC PORTSMOUTH CLINIC
NPI 1417007790
Clinic/Center - Military/U.S. Coast Guard Outpatient in Portsmouth, VA

Active since January 11, 2007
4000 COAST GUARD BLVD, PORTSMOUTH, VA 23703(757) 483-8597(757) 483-8610 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Isc Portsmouth Clinic NPPES

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

ISC PORTSMOUTH CLINIC (NPI 1417007790) is a healthcare organization registered as a military/u.s. coast guard outpatient in Portsmouth, Virginia and active in the NPI registry since January 2007. The organization lists Michael J Cristy, Chief, Health Services Division, as its authorized official.

NPPES Registry Identity

NPI1417007790
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameISC PORTSMOUTH HEALTH SERVICES DIVISION USCG
Location Address4000 COAST GUARD BLVDPortsmouth, VA 23703-2199
Mailing Address4000 Coast Guard BlvdPortsmouth, VA 23703-2199 · (757) 483-8597 · Fax (757) 483-8610
Phone(757) 483-8597
Fax(757) 483-8610
Organization SubpartNo
Authorized OfficialMichael J CristyChief, Health Services Division · (757) 483-8686
Enumeration DateJanuary 11, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1417007790 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.
4000 COAST GUARD BLVD, Portsmouth, VA 23703
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Other Names 1

Other NameIsc Portsmouth Clinic

Other Providers at the Same Location NPPES 20

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

JUAN C ROBAYO PA-C
Physician Assistant
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703
Portsmouth City (757) 483-8596
MRS. REBECCA LEE DAVIS HS2
Military Health Care Provider
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703
Portsmouth City (757) 483-8597
STEWART WESLEY CALLOWAY
Technician, Other
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703
Portsmouth City (757) 638-6644
MR. ONEIL CLINTON LUE
Technician, Health Information
4000 COAST GUARD BLVD, CGC FORWARD
PORTSMOUTH, VA 23703
Portsmouth City (757) 483-8740
UNITED STATES COAST GUARD
Clinic/Center (Military/U.S. Coast Guard Outpatient)
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703
Portsmouth City (757) 483-5896
MATTHEW BRIAN GARCIA IDHS
Military Health Care Provider (Independent Duty Corpsman)
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703
Portsmouth City (972) 765-8272
MRS. YOLANDA CHERRY MEDICAL ASSISTANT
Case Manager/Care Coordinator
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703
Portsmouth City (757) 686-6685
MEGAN ZIEGER LCSW
Social Worker (Clinical)
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703
Portsmouth City (757) 483-8424

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 Isc Portsmouth Health Services Division Uscg's NPI number?

The NPI number for Isc Portsmouth Health Services Division Uscg is 1417007790. It was assigned to this organization in the NPPES registry on January 11, 2007. The provider is also known as Isc Portsmouth Clinic.

Where is Isc Portsmouth Health Services Division Uscg located?

Isc Portsmouth Health Services Division Uscg is located at 4000 Coast Guard Blvd, Portsmouth, VA 23703. The listed phone number is (757) 483-8597.

What is Isc Portsmouth Health Services Division Uscg'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 Isc Portsmouth Health Services Division Uscg 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.