# UNITED STATES COAST GUARD

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

## Provider details

- **NPI number:** 1538393327
- **Authorized official:** MISS TINA OWEN (LT)
- **Authorized official phone:** (510) 437-3582

## Contact information

- **Practice address:** ISC ALAMEDA, COAST GUARD ISLAND, BLDG 1, ALAMEDA, CA 94501
- **Practice address phone:** (510) 437-3582
- **Mailing address:** COAST GUARD ISLAND, ISC ALAMEDA CLINIC BLDG. 1, ALAMEDA, CA 94501
- **Mailing address phone:** (510) 437-3582

## Taxonomy

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

## Other

- **Enumeration date:** 05/07/2009
- **Last updated:** 05/07/2009