U.S. COAST GUARD ISC HONOLULU – NPI #1316029259
Clinic/Center

The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.

Health Care Provider Taxonomy Code for Clinic/Center

U.S. COAST GUARD ISC HONOLULU is an AHC clinic located in HONOLULU, HI. NPPES has assigned the NPI number 1316029259 to U.S. COAST GUARD ISC HONOLULU on October 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 U.S. COAST GUARD ISC HONOLULU below.

NPI Profile for
U.S. COAST GUARD ISC HONOLULU

NPI Number
1316029259
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
U.S. COAST GUARD ISC HONOLULU
Primary location
400 SAND ISLAND PKWY
HEALTH SERVICES DIVISION
HONOLULU, HI 96819-4326
Phone: (808) 842-2930 Fax: (808) 842-2956
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARC BUTLER
CLINIC ADMINISTRATOR
Phone: (808) 842-2927
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
261QM1100X
- Clinic/Center / Military/U.S. Coast Guard Outpatient (Primary)

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.