# MEDICAL DEPARTMENT USCG

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- **Entity:** Organization
- **Status:** Active
- **Other names:** US COAST GUARD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407054323
- **Authorized official:** RADOSLAW ALEXANDER FLORCZAK (HEALTH TECHNICIAN)
- **Authorized official phone:** (541) 156-9159

## Contact information

- **Practice address:** 2000 CONNECTICUT AVE, NORTH BEND, OR 97459-2300
- **Practice address phone:** (541) 156-9159
- **Practice address fax:** (541) 156-9617
- **Mailing address:** MEDICAL DEPARTMENT USCG AIR STATION, 2000 CONNECTICUT AVE., NORTH BEND, OR 97459-2399
- **Mailing address phone:** (541) 156-9159
- **Mailing address fax:** (541) 156-9617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171000000X | Military Health Care Provider | — | NULL | Yes |
| 171000000X | Military Health Care Provider | — | — | Yes |

## Other

- **Enumeration date:** 07/03/2007
- **Last updated:** 08/22/2020