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COAST GUARD
NPI 1528142809
Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure in Washington, DC

Active since October 24, 2006
COMDT CG-1122 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593(508) 968-6572(508) 968-6581 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Coast Guard NPPES

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

COAST GUARD (NPI 1528142809) is a healthcare organization registered as a military and u.s. coast guard ambulatory procedure in Washington, District Of Columbia and active in the NPI registry since October 2006. The organization lists Richard A Jackson, Supervisor, as its authorized official.

NPPES Registry Identity

NPI1528142809
Entity TypeOrganization
Primary Taxonomy261QM1101X
Legal Business NameCOAST GUARD
Location AddressCOMDT CG-1122 2100 2ND ST SW, SUITE 5314Washington, DC 20593-0001
Mailing AddressComdt Cg-1122 2100 2nd St Sw, Suite 5314Washington, DC 20593-0001 · (508) 968-6572 · Fax (508) 968-6581
Phone(508) 968-6572
Fax(508) 968-6581
Organization SubpartNo
Authorized OfficialRichard A JacksonSupervisor · (508) 968-6713
Enumeration DateOctober 24, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1528142809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Military and U.S. Coast Guard Ambulatory ProcedureAmbulatory Health Care Facilities
Taxonomy Code261QM1101X
Definition
That part of a fixed (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial take home pharmaceuticals.
COMDT CG-1122 2100 2ND ST SW, Washington, DC 20593
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Other Providers at the Same Location NPPES 2

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

MR. MICHAEL DAVID WILSON HEALTH SERVICE TECH
Technician, Other
COMDT CG-1122 2100 2ND ST SW, SUITE 5314
WASHINGTON, DC 20593
District of Columbia (757) 856-2230
MRS. CONSTANCE ELIZABETH COREY RN
Registered Nurse (Occupational Health)
COMDT CG-1122 2100 2ND ST SW, US COAST GUARD SUITE 5314
WASHINGTON, DC 20593
District of Columbia (202) 372-4104

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 Coast Guard's NPI number?

The NPI number for Coast Guard is 1528142809. It was assigned to this organization in the NPPES registry on October 24, 2006.

Where is Coast Guard located?

Coast Guard is located at Comdt Cg-1122 2100 2nd St SW Suite 5314, Washington, DC 20593. The listed phone number is (508) 968-6572.

What is Coast Guard's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military and U.S. Coast Guard Ambulatory Procedure, with taxonomy code 261QM1101X.

When was this NPI record last updated?

The NPPES record for Coast Guard 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 6 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.