USCG CLINIC SECTOR DETROIT
NPI 1477620755
Clinic/Center - Military/U.S. Coast Guard Outpatient in Selfridge Angb, MI
- Organization
- Clinic/Center
- Military/U.S. Coast Guard Outpatient
About USCG CLINIC SECTOR DETROIT
This page provides the complete NPI Profile along with additional information for Uscg Clinic Sector Detroit, a provider established in Selfridge Angb, Michigan operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1477620755 assigned on November 2006. The practitioner's primary taxonomy code is 261QM1100X with license number 4301062131 (MI). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Joseph P Simon M.d. (Chief, Health Services Division)
- NPI
- 1477620755 Verify this NPI
- Provider Name
- USCG CLINIC SECTOR DETROIT
- Entity Type
- Organization
- Location Address
- 43401 N. JEFFERSON, BLDG 825 SELFRIDGE ANGB, MI 48045
- Location Phone
- (586) 307-5017
- Location Fax
- (586) 307-5010
- Mailing Address
- 43401 N. JEFFERSON, BLDG 825 SELFRIDGE ANGB, MI 48045
- Mailing Phone
- (586) 307-5017
- Mailing Fax
- (586) 307-5010
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-29-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Military/U.S. Coast Guard Outpatient
- Taxonomy Code
- 261QM1100X
- Type
- Ambulatory Health Care Facilities
- License No.
- 4301062131
- License State
- MI
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477620755, enumerated as an "organization" on November 29, 2006.
The provider is located at 43401 N. JEFFERSON, BLDG 825 SELFRIDGE ANGB, MI 48045 and the phone number is (586) 307-5017.
Clinic/Center with taxonomy code 261QM1100X and a focus in Military/U.S. Coast Guard Outpatient.
