# UNITED STATES COAST GUARD

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

## Provider details

- **NPI number:** 1811078314
- **Authorized official:** MS. RACHEL ANN HAYES (HEALTH SERVICES TECHNITION)
- **Authorized official phone:** (508) 968-6729

## Contact information

- **Practice address:** 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0002
- **Practice address phone:** (508) 968-6572
- **Practice address fax:** (508) 968-6581
- **Mailing address:** 2100 2ND STREET, SOUTHWEST, SUITE 5314, WASHINGTON, DC 20593
- **Mailing address phone:** (508) 968-6572
- **Mailing address fax:** (508) 968-6581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2865M2000X | Military General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 08/22/2020