Provider Demographics
NPI:1053397034
Name:U.S. COAST GUARD
Entity type:Organization
Organization Name:U.S. COAST GUARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMDT
Authorized Official - Prefix:
Authorized Official - First Name:COMDT
Authorized Official - Middle Name:
Authorized Official - Last Name:( CG-1122 )
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-267-0801
Mailing Address - Street 1:COMDT ( CG-1122 ) US COAST GUARD
Mailing Address - Street 2:2100 2ND ST SW SUITE 5314
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20593-0001
Mailing Address - Country:US
Mailing Address - Phone:281-929-2421
Mailing Address - Fax:281-929-2605
Practice Address - Street 1:COMMANDING OFFICER USCG AIR STA HOUSTON
Practice Address - Street 2:1178 ELLINGTON FIELD
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034
Practice Address - Country:US
Practice Address - Phone:281-929-2421
Practice Address - Fax:281-929-2605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Multi-Specialty