US COAST GUARD MEDICAL CLINIC NORTH BEND – NPI #1770608424
Military Health Care Provider

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Health Care Provider Taxonomy Code for Military Health Care Provider

US COAST GUARD MEDICAL CLINIC NORTH BEND is a military health care provider located in NORTH BEND, OR. NPPES has assigned the NPI number 1770608424 to US COAST GUARD MEDICAL CLINIC NORTH BEND on March 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 171000000X from the Health Care Provider Taxonomy code set, which is classified as Military Health Care Provider.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. See the complete NPI profile for US COAST GUARD MEDICAL CLINIC NORTH BEND below.

NPI Profile for
US COAST GUARD MEDICAL CLINIC NORTH BEND

NPI Number
1770608424
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
US COAST GUARD MEDICAL CLINIC NORTH BEND
Primary location
2000 CONNECTICUT AVE
NORTH BEND, OR 97459-2300
Phone: (541) 756-9234 Fax: (541) 756-9617
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEPHEN KINSLEY
SENIOR MEDICAL OFFICER
Phone: (541) 756-9237
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
171000000X
- Military Health Care Provider (Primary)		 OH 35057309

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.