Uscg Clinic Sector Detroit, NPI 1477620755
Military/U.S. Coast Guard Outpatient Clinic/Center in Selfridge Angb, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1477620755
NPI Entity Type Organization
Provider Name Uscg Clinic Sector Detroit
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 43401 N. Jefferson, Bldg 825, Selfridge Angb, MI, US
Provider Mailing Address 43401 N. Jefferson, Bldg 825, Selfridge Angb, MI, US, 48045
Is Sole Proprietor? No
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Organization Official

Official Name DR. M.D. Joseph P Simon
Official Position CHIEF, HEALTH SERVICES DIVISION
Phone 586-307-5017

Primary Taxonomy

Taxonomy Code

261QM1100X

Taxonomy Name Military/U.S. Coast Guard Outpatient Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

License No. 4301062131
License State MI
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.

Business Address

Uscg Clinic Sector Detroit
43401 N. Jefferson, Bldg 825

Selfridge Angb, MI, US

Phone: 586-307-5017
Fax: 586-307-5010

Mailing Address

Uscg Clinic Sector Detroit
43401 N. Jefferson, Bldg 825
Selfridge Angb, MI, US
ZIP 48045
Phone: 586-307-5017
Fax: 586-307-5010

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