# UNDERWATER CONSTRUCTION TEAM TWO

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

## Provider details

- **NPI number:** 1881952661
- **Authorized official:** MR. TIMOTHY J KERR DIVE IDC (HOSPITAL CORPSMAN IDC)
- **Authorized official phone:** (805) 982-6682

## Contact information

- **Practice address:** 4643 DOCK ROAD BLDG 524, UNDERWATER CONSTRUCTION TEAM TWO, PORT HUENEME, CA 93043
- **Practice address phone:** (805) 982-6682
- **Practice address fax:** (805) 982-3246
- **Mailing address:** 4643 DOCK ROAD BLDG 524, UNDERWATER CONSTRUCTION TEAM TWO, PORT HUENEME, CA 93043
- **Mailing address phone:** (805) 982-6682
- **Mailing address fax:** (805) 982-3246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3418M1110X | Military or U.S. Coast Guard Ground Transport Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 04/30/2012
- **Last updated:** 04/30/2012
