# U. S. COAST GUARD

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

## Provider details

- **NPI number:** 1346211059
- **Authorized official:** DR. J RUSSELL BOWMAN MD (FLIGHT SURGEON)
- **Authorized official phone:** (907) 966-5537

## Contact information

- **Practice address:** 611 AIRPORT DR, SITKA, AK 99835-9436
- **Practice address phone:** (907) 966-5438
- **Practice address fax:** (907) 966-5491
- **Mailing address:** COMDT (CG-1122), 2100 2ND ST SW ROOM 5314, WASHINGTON, DC 20593-0001
- **Mailing address phone:** (907) 966-5438
- **Mailing address fax:** (907) 966-5491

## Taxonomy

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

## Other

- **Enumeration date:** 01/30/2006
- **Last updated:** 08/22/2020