DETROIT USCG PHCY (NPI# 1902022601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902022601 |
| Entity Type | Organization |
| Organization Name | DETROIT USCG PHCY |
| Practice Address |
43355 North Jefferson Uscg Clinic - Bldg 825 Detroit MI 48045 |
| Mailing Address |
2450 Stanley Rd Ste 208 Attn Hector Morales Fort Sam Houston TX 78234-6102 |
| Practice Telephone | 5863075017 |
| Mailing Telephone | 2102218443 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2008-08-11 |
| Authorized Official Name | MR. HECTOR MORALES (MANAGER DOD PHARMACY OPERATIONS CTR) |
| Authorized Official Telephone | 2102218443 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| Street Address |
43355 NORTH JEFFERSON USCG CLINIC - BLDG 825 |
| City | DETROIT |
| State | MI |
| Zip Code | 48045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447602040 | Integrated Solution LLC | Social Worker | 24791 Parkside St., Apt. 206, Harrison Township, MI 48045 | 2016-07-07 |
| 1598908352 | Andrew Frank Langlois | Pharmacist | 28350 S.river Rd, Harrison Twp, MI 48045 | 2009-04-09 |
| 1629241559 | Brandon Charles Holda | Technician, Other | 43401 N. Jefferson Bldg #825, Selfridge Angb, MI 48045 | 2008-04-11 |
| 1477620755 | Uscg Clinic Sector Detroit | Clinic/Center | 43401 N. Jefferson, Bldg 825, Selfridge Angb, MI 48045 | 2006-11-29 |
| 1568561983 | Ireland Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 410 Mitchell, Selfridge Air Base, MI 48045 | 2006-09-22 |
| 1477661700 | Bridgeview Chiropractic Center | Chiropractor | 28326 S River Rd, Harrison Twp, MI 48045 | 2006-08-28 |
| 1851362586 | St. John Hospital and Medical Center | General Acute Care Hospital | 26755 Ballard Road, Harrison Township, MI 48045 | 2006-01-31 |
| 1013256296 | Mclaren Macomb | Emergency Medicine | 39833 Bridgeview St, Harrison Township, MI 48045 | 2013-02-07 |
| 1265467682 | Venkateswara Rao Malineni | Psychiatry & Neurology | 215 North Ave, St Joseph Specialty Hospital 215, Mt Clemens, MI 48045 | 2006-07-12 |
| 1679908438 | Complete Chiropractic Clinic Pllc | Chiropractor | 25325 Henry B Joy Blvd, Harrison Twp, MI 48045-1321 | 2013-09-11 |
| Find all providers in zip 48045 | ||||
| Taxonomy Code | 332000000X |
| Grouping | Suppliers |
| Classification | Military/U.S. Coast Guard Pharmacy |
| A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568561983 | Ireland Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 410 Mitchell, Selfridge Air Base, MI 48045 | 2006-09-22 |
| 1891892642 | Traverse City Uscg Phcy | Military/U.S. Coast Guard Pharmacy | 1175 Airport Access Rd, Traverse City, MI 49686-3513 | 2006-09-20 |
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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.