Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 4

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Independent Duty Corpsman Providers

NPI Name Type Address

1578531992

IDC L.v. Hall JR.

Individual

Uss Samuel B. Roberts (ffg 58)

Fpo Aa

Mayport, FL

1982667804

IDC Robert Lee King

Individual

Naval Branch Health Clinic

2104 Massey Avenue,

Mayport, FL

1588907042

IDC Devon Schefano

Individual

1204 Massey Ave

Mayport, FL

1619550910

IDC Haley Emma Vaccaro

Individual

2104 Massey Ave

Mayport, FL

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