Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coast Guard

Organization Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center · NPI 1528142809

Coast Guard is a Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center in Washington, District of Columbia. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

Comdt CG-1122 2100 2nd St SW Ste 5314
Washington, DC 20593-0001
Phone: (508) 968-6572
Fax: (508) 968-6581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center (primary) Taxonomy 261QM1101X

Record details

NPI number1528142809
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Jackson — Supervisor · (508) 968-6713
NPI enumeratedOctober 24, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressComdt Cg-1122 2100 2nd St Sw, Suite 5314, Washington, DC 20593-0001

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