Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 5

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Independent Duty Corpsman Providers

NPI Name Type Address

1417257825

MS. IDC Leah Marie Baldwin

Individual

55 George Rd

Quincy, MA

1568424638

Timothy Jason Shaeffer

Individual

Building 5, Charlestown Navy Yard

Uss Constitution

Charlestown, MA

1740840313

IDC Lindy Oubre

Individual

85 Sea St

Quincy, MA

1467000901

SUBMARINE IDC Ryan Jackson Coulombe

Individual

22 The Ln

Lunenburg, MA

1285305961

IDHS Rachel Larson

Individual

3172 Herbert Rd

Buzzards Bay, MA

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