USCG (NPI# 1205957982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205957982 |
| Entity Type | Organization |
| Organization Name | USCG |
| Practice Address |
5439 A Lemay Ave. Buzzards Bay MA 02542 |
| Mailing Address |
5403 A Lemay Ave. Buzzards Bay MA 02542 |
| Practice Telephone | 5089686704 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WYATT HELLEY (HEALTH SERVICE TECHNICAN 3 CLASS) |
| Authorized Official Telephone | 5089686704 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710028048 | Uscg | Clinic/Center | 10569 Lake Breeze Dr, Seminole, FL 33772-4333 | 2007-02-09 |
| 1396846739 | Uscg | Preferred Provider Organization | Uscg Atc Mobile, 8501 Tanner Williams Road, Mobile, AL 36608 | 2006-09-26 |
| 1801087580 | Uscg | Community Based Residential Treatment Facility, Mental Illness | 427 Commercial St, Boston, MA 02109-1027 | 2007-08-07 |
| 1316001076 | Uscg | Technician, Other | 1 Munro Ave, Medical, Cape May, NJ 08204-5000 | 2006-12-20 |
| 1326100827 | Uscg | Clinic/Center | 1 Eagle Rd, Alameda, CA 94501-5100 | 2006-12-14 |
| 1598778623 | Uscg | Clinic/Center | 2401 Hawkins Point Rd, Baltimore, MD 21226-1797 | 2006-08-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | USCG FINANCE CENTER CUSTOMER SERVICE | 1430a Kristina Way, Chesapeake, VA 23326-1000 |
| New York State Corporations | USCG GREEN LLC | 180 Phillips Hill Rd., Ste 3a, New City, Ny 10956 |
| System for Award Management (SAM) Entities | USCG MWR AIR STATION CAPE COD | 5205 Ent St Bldg 5205, Buzzards Bay, MA 02542-1212 |
| System for Award Management (SAM) Entities | USCG TRACEN PETALUMA MWR CABLE | 599 Tomales Rd, Petaluma, CA 94952-5002 |
| Washington State Corporations | USCG, INC. | 1550 Railroad Ave, Bellingham, WA 98225 |
| Washington State Corporations | USCG-11 / TIBURON / USCG 83366 FOUNDATION | 36824 Se 191st St, Maple Valley, WA 98038 |
| Street Address |
5439 A LEMAY AVE. |
| City | BUZZARDS BAY |
| State | MA |
| Zip Code | 02542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487744660 | Adam Lee Barton | Spec/Tech, Pathology | 5648c Doolittle Ave, Buzzards Bay, MA 02542 | 2006-10-16 |
| 1104802669 | Stephen Corey Bond | Emergency Medical Technician, Basic | 5201 Lee Rd., Uscg Kaehler Memorial Medical Clinic, Buzzards Bay, MA 02542 | 2005-12-16 |
| 1033195599 | John D Hughes | Technician, Other | U.S. Coast Guard Kaehler Memorial Medical Clinic, Lee Rd. Bldg 5201, Bourne, MA 02542 | 2005-12-16 |
| 1952386690 | Richard Allen Jackson | Emergency Medical Technician, Basic | Kaehler Memorial Medical Clinic, Us Coast Guard, Otis Angb, MA 02542 | 2005-12-14 |
| 1417932997 | Michael Anthony Carr | Physician Assistant | 5201 Lee Road, Uscg Air Station Cape Cod-kaehler Memorial Med Clinic, Buzzards Bay, MA 02542 | 2005-12-07 |
| 1932208352 | Cape Cod Uscg Phcy | Military/U.S. Coast Guard Pharmacy | Kaehler Memorial Medical Clinic, 5201 Lee Rd Us Air Station, Cape Cod, MA 02542 | 2006-09-22 |
| 1295711752 | Wayne Lee Burton | Technician, Other | 5201 Lee Rd, Khealer Clinic, Buzzards Bay, MA 02542 | 2005-12-16 |
| 1992780639 | Perry James Kremer | Physician Assistant | 5201 Lee Rd, Kaehler Memorial Medical Clinic, Buzzards Bay, MA 02542 | 2005-12-14 |
| 1487639506 | Uscg Airstation Cape Cod | Clinic/Center | 5201 Lee Rd, Buzzards Bay, MA 02542-1313 | 2005-12-13 |
| 1023296597 | United Stated Coast Guard | Clinic/Center | 5201 Lee Rd, Buzzards Bay, MA 02542-1313 | 2008-02-06 |
| Find all providers in zip 02542 | ||||
| Taxonomy Code | 261QM1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military/U.S. Coast Guard Outpatient |
| 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. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093835977 | Us Coast Guard | Clinic/Center | 5201 Lee Rd, Buzzards Bay, MA 02542-1313 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578648093 | Uscg Isc Boston | Clinic/Center | 427 Commercial Street, Boston, MA 02109 | 2006-10-25 |
| 1225243140 | Keller Army Community Hospital | Clinic/Center | 42 Kansas St, Soldier Service Center, Natick, MA 01760-2642 | 2007-05-14 |
| City | BUZZARDS BAY |
| Zip Code | 02542 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.