# U.S. COAST GUARD ISC HONOLULU

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316029259
- **Authorized official:** MARC A. BUTLER (CLINIC ADMINISTRATOR)
- **Authorized official phone:** (808) 842-2927

## Contact information

- **Practice address:** 400 SAND ISLAND PKWY, HEALTH SERVICES DIVISION, HONOLULU, HI 96819-4326
- **Practice address phone:** (808) 842-2930
- **Practice address fax:** (808) 842-2956
- **Mailing address:** 400 SAND ISLAND PKWY, HEALTH SERVICES DIVISION, HONOLULU, HI 96819-4326
- **Mailing address phone:** (808) 842-2930
- **Mailing address fax:** (808) 842-2956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 08/22/2020