U. S. COAST GUARD HEALTH SERVICES/ISC SEATTLE NPI 1558333203

NPI Information

  • NPI: 1558333203
  • Provider Name: U. S. COAST GUARD HEALTH SERVICES/ISC SEATTLE
  • Classification: Clinic/Center - 261QM1100X
  • Specialization: Military/U.S. Coast Guard Outpatient
  • Entity Type: Organization
  • Address: 1519 ALASKAN WAY S
    SEATTLE, WA
    ZIP 98134
  • Phone: (206) 217-6436

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NPI Details

U. S. COAST GUARD HEALTH SERVICES/ISC SEATTLE is a military/u.s. coast guard outpatient clinic center in Seattle, WA. The provider is 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. U. S. COAST GUARD HEALTH SERVICES/ISC SEATTLE NPI is 1558333203. The provider is registered as an organization entity type.

The provider's business location address is:

1519 ALASKAN WAY S
SEATTLE, WA
ZIP 98134-102
Phone: (206) 217-6436
Fax: (206) 217-6636

The provider's authorized official is Daniel Ralph Waddingham .
The authorized official title is Medical Officer and has the following contact phone number (206) 217-6436.

The enumeration date for this NPI number is 2/6/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1100XClinic/CenterMilitary/U.S. Coast Guard OutpatientPA10004424WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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