NPI 1104153279

US Coast Guard

Organisation Clinic/Center Fpo, AP

Practice location

Address: Uscgc Morgenthau, Fpo, AP 96672-3916
Phone: (501) 437-3981
Mailing address: 91-1035 Kai Loli Street, Ewa Beach, HI 96706

Authorised official

Name: Nidhi Jain,
Title: Cdr
Phone: (510) 437-3688

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence 2008333 (CA)

Other Clinic/Center providers in Armed Forces Pacific →

Registry record

NPI: 1104153279
Entity type: Organization
NPI issued: 11 Nov 2009
Record last updated: 11 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.