Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 6

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Independent Duty Corpsman Providers

NPI Name Type Address

1780702944

MR. IDC Bradley Ivan Gallimore

Individual

650 Sewall St

Naval Air Station

Brunswick, ME

1720265101

MR. William Eickhoff

Individual

650 Sewall Street

Naval Branch Health Clinic

Brunswick, ME

1912076704

MR. Kenneth Kevin Mccartney

Individual

153 Grand Marsh Bay Rd

Prospect Harbor, ME

1235801085

Stephanie Requena

Individual

184 Clark Point Rd

Southwest Harbor, ME

1558033159

NR-EMT Cameron Defelice

Individual

259 High St

South Portland, ME

1518610526

USCG IDHS Seth William Eckenroth

Individual

100 Paul Jones Ave

Bldg. 171

Kittery, ME

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