USCG MEDICAL CENTER


Address: 1175 Airport Access Rd, Traverse City, MI 49686-3513
Phone: 2319228282

USCG MEDICAL CENTER (NPI# 1922199462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922199462
Entity Type Organization
Organization Name USCG MEDICAL CENTER
Practice Address 1175 Airport Access Rd
Traverse City
MI 49686-3513
Practice Telephone 2319228282
Enumeration Date 2006-09-28
Last Update Date 2020-08-22
Authorized Official Name MATT BENTON (SUPERVISOR)
Authorized Official Telephone 2319228282
Is Organization Subpart N

Taxonomy

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

Office Location

Street Address 1175 AIRPORT ACCESS RD
City TRAVERSE CITY
State MI
Zip Code 49686-3513

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275508665 Anthony Wayne Oldham Technician, Other 1175 Airport Access Rd, Traverse City, MI 49686-3513 2006-02-21
1942384409 Uscg Airsta Traverse City Clinic Clinic/Center 1175 Airport Access Rd, Traverse City, MI 49686-3513 2006-10-24
1558452938 Charles Hubbard Williams IIi Military Health Care Provider 1175 Airport Access Rd, Traverse City, MI 49686-3513 2006-09-28
1891892642 Traverse City Uscg Phcy Military/U.S. Coast Guard Pharmacy 1175 Airport Access Rd, Traverse City, MI 49686-3513 2006-09-20
1578678728 Harry Seung-shik Ko Family Medicine 1175 Airport Access Rd, Traverse City, MI 49686-3513 2006-08-20
1760415137 Airstation Traverse City Exclusive Provider Organization 1175 Airport Access Rd, Flight Med Clinic, Traverse City, MI 49686-3513 2006-07-09
1568437358 Lisa Jean Price Technician, Other 1175 Airport Access Rd, Traverse City, MI 49686-3513 2006-02-23
1265407191 Matthew Todd Benton Military Health Care Provider 1175 Airport Access Rd, Traverse City, MI 49686-3513 2006-02-22
1477528768 Crystal Marie Synkiew Technician, Other 1175 Airport Access Rd, Traverse City, MI 49686-3513 2006-02-21
1952376212 Adriano Oliveira Silva Technician, Other 1175 Airport Access Rd, Traverse City, MI 49686-3513 2006-02-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245877208 Jessica Marie Glowacki Behavior Technician 935 Hemlock St, Traverse City, MI 49686 2019-12-09
1568011542 Joanne Kressley Technician 1693 Maylane Apt. 104, Traverse City, MI 49686 2019-09-11
1194283846 Pace North PACE Provider Organization 2325 Garfield Road N., Traverse City, MI 49686 2019-03-12
1245749225 Margaret Anne Goss Speech-Language Pathologist 1105 E. Eighth Street, Traverse City, MI 49686 2017-09-22
1467981811 Joan Joyce Shirilla Social Worker 2124 Twin Eagles Dr, Traverse City, MI 49686 2017-06-08
1770028763 Rehab and Mobility Systems, LLC Durable Medical Equipment & Medical Supplies 707 Parsons, Traverse City, MI 49686 2016-12-29
1629511316 Kaitlyn Grangood Social Worker 415 Munson Avenue, Ste 101, Traverse City, MI 49686 2016-11-29
1811441132 Jeffrey D Goodwin Counselor 430 Fair St., Traverse City, MI 49686 2016-08-04
1053779918 Thomas Osborne Counselor 2014 Phelps Rd., Traverse City, MI 49686 2016-02-08
1982079588 Marsha Lynne Dallas Counselor 2240 South Airport Road, Traverse City, MI 49686 2015-12-08
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Taxonomy Information

Taxonomy Code 261QM1100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Military/U.S. Coast Guard Outpatient

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477620755 Uscg Clinic Sector Detroit Clinic/Center 43401 N. Jefferson, Bldg 825, Selfridge Angb, MI 48045 2006-11-29
1386859387 Ireland Army Community Hospital Clinic/Center 6501 E 11 Mile Rd, Warren, MI 48397-5000 2007-05-11

Competitor

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City TRAVERSE CITY
Zip Code 49686

Improve Information

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Dataset Information

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.

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