121st Csh/Baach
Clinic/Center, MilitaryU.S. Coast Guard Outpatient in Apo, AP. Organization (NPI-2).
NPI number1457559239
StatusActive
Last updated in NPPESJan 6, 2014
Details
- NPI
- 1457559239
- Entity type
- Organization (NPI-2)
- Legal business name
- 121st Csh/Baach
- Organization subpart
- Yes
- Enumeration date
- Jul 3, 2007
- Last updated
- Jan 6, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1100X | Clinic/Center, MilitaryU.S. Coast Guard Outpatient | – | – | Yes |
Other names
- Usadc Kr Aach/Oral Surgery (Doing Business As)
Practice location
Unit 15652, Bldg 7005Apo, AP 96205
Phone 01182279171410
Mailing address
Unit 15244 Box 316Apo, AP 96205-5244
Phone 01182279171858
Authorized official
Chong McCue
Chief, Ubo
01182279171857
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