ISC ALAMEDA MEDICAL CLINIC – NPI #1487860656
Clinic/Center

ISC ALAMEDA MEDICAL CLINIC is an AHC clinic located in ALAMEDA, CA. NPPES has assigned the NPI number 1487860656 to ISC ALAMEDA MEDICAL CLINIC on May 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ISC ALAMEDA MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is COAST GUARD HEADQUARTERS. The primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

The NPI profile was previously updated about 18 years ago on Jun 27, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ISC ALAMEDA MEDICAL CLINIC below.

NPI Profile for
COAST GUARD HEADQUARTERS

NPI Number
1487860656
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COAST GUARD HEADQUARTERS
Doing Business As (dba): ISC ALAMEDA MEDICAL CLINIC
Primary location
1 EAGLE RD
BLDG #1
ALAMEDA, CA 94501-5100
Phone: (510) 437-3582 Fax:
Mailing address
2100 2ND STREET
SUITE 5314
WASHINGTON, DC 20593
Phone: (510) 437-3582 Fax:
Organization Subpart
No
Authorized Official
EUGENIA TABERBERO
REGISTER NURSE
Phone: (510) 437-3582
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QH0100X
- Clinic/Center / Health Service (Primary)		 CA 344918

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.