Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 7

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Independent Duty Corpsman Providers

NPI Name Type Address

1396057683

IDC Manuel Valle

Individual

910 Del Dios Hwy Apt 97

Escondido, CA

1588034060

MR. SFIDC Andrew Paul Glemser

Individual

505 San Pasqual Valley Rd

#199

Escondido, CA

1407227184

IDC Fletcher Carson

Individual

719 Erica Street

Escondido, CA

1760838759

INDEPENDENT DUTY HM Carl A Norman

Individual

630 Thunder Gln

Escondido, CA

1518528504

James Hammond

Individual

1201 Lancer Gln

Escondido, CA

1982146965

Amanda Hintz

Individual

1201 Lancer Gln

Escondido, CA

1588183610

MR. IDC Reginald Louis

Individual

646 Shadywood Dr

Escondido, CA

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 1710I1002X
Specialization Independent Duty Corpsman
Display Name Independent Duty Corpsman
Taxonomy Group Other Service Providers
Taxonomy Classification Military Health Care Provider
Definition A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Effective Date September 30, 2009
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Military Health Care Provider Codes

Independent Duty Medical Technicians

1710I1003X • providers: 1,299

Military Health Care Provider

171000000X • providers: 1,689