# U. S. COAST GUARD AVIATION TRAINING CENTER MOBILE

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

## Provider details

- **NPI number:** 1760673784
- **Authorized official:** MRS. PAMELA STEWART-KUHN RPH (CHIEF, HEALTH SERVICES DIVISION)
- **Authorized official phone:** (251) 441-6725

## Contact information

- **Practice address:** 8501 TANNER WILLIAMS RD, MOBILE, AL 36608-8322
- **Practice address phone:** (251) 441-6725
- **Practice address fax:** (251) 441-6415
- **Mailing address:** 8501 TANNER WILLIAMS RD, MOBILE, AL 36608-8322

## Taxonomy

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

## Other

- **Enumeration date:** 08/05/2007
- **Last updated:** 08/05/2007