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USCG CLINIC JACKSONVILLE
NPI 1982130704
Clinic/Center - Military/U.S. Coast Guard Outpatient in Norfolk, VA

Active since May 11, 2017
300 E MAIN ST, NORFOLK, VA 23510(757) 628-4363 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Uscg Clinic Jacksonville NPPES

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

USCG CLINIC JACKSONVILLE (NPI 1982130704) is a healthcare organization registered as a military/u.s. coast guard outpatient in Norfolk, Virginia and active in the NPI registry since May 2017. The organization lists Debra Fitzgerald, Health System Analyst, as its authorized official.

NPPES Registry Identity

NPI1982130704
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameUSCG CLINIC JACKSONVILLE
Location Address300 E MAIN STNorfolk, VA 23510-1753
Mailing Address10426 Alta DrJacksonville, FL 32226-2302
Phone(757) 628-4363
Organization SubpartNo
Authorized OfficialDebra FitzgeraldHealth System Analyst · (757) 628-4363
Enumeration DateMay 11, 2017
✔ NPI 1982130704 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.
300 E MAIN ST, Norfolk, VA 23510
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Other Providers at the Same Location NPPES 17

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

HOWARD R. HARRIS
Technician, Other
300 E MAIN ST, SUITE 1000
NORFOLK, VA 23510
Norfolk City (757) 628-4417
MICHAEL ANDREW KOCERKA HS
Technician, Other
300 E MAIN ST, SUITE 1000
NORFOLK, VA 23510
Norfolk City (757) 628-4373
USCG CLINIC BARBERS POINT
Clinic/Center (Military/U.S. Coast Guard Outpatient)
300 E MAIN ST
NORFOLK, VA 23510
Norfolk City (757) 628-4363
DR. JOSEPH LEWIS PEREZ M.D.
Family Medicine
300 E MAIN ST, 10TH FLOOR-HSWL OPERATIONAL MEDICINE
NORFOLK, VA 23510
Norfolk City (757) 628-4338
KIRK WATSON HS
Technician, Other
300 E MAIN ST, SUITE 1000
NORFOLK, VA 23510
Norfolk City (757) 628-4375
MR. JAY ANDREW WOOD RTR
Technician, Other
300 E MAIN ST
NORFOLK, VA 23510
Norfolk City (757) 628-4381
MR. JOSHUA RENE GARCIA
Technician, Other
300 E MAIN ST, SUITE 1000
NORFOLK, VA 23510
Norfolk City (757) 628-4348
JOHN WALLACE SR. IDC
Military Health Care Provider (Independent Duty Corpsman)
300 E MAIN ST, SUITE 1000
NORFOLK, VA 23510
Norfolk City (757) 628-4347

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 Uscg Clinic Jacksonville's NPI number?

The NPI number for Uscg Clinic Jacksonville is 1982130704. It was assigned to this organization in the NPPES registry on May 11, 2017.

Where is Uscg Clinic Jacksonville located?

Uscg Clinic Jacksonville is located at 300 E Main St, Norfolk, VA 23510. The listed phone number is (757) 628-4363.

What is Uscg Clinic Jacksonville'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 Uscg Clinic Jacksonville was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.