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List of United States Public Health Service Commissioned Corps four-star admirals

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Flag of a U.S. Public Health Service four-star admiral (assistant secretary for health)

The rank of admiral (or full admiral, or four-star admiral), ranks above vice admiral (three-star admiral) and is the highest rank achievable in the United States Public Health Service Commissioned Corps.

There have been six four-star admirals in the history of the U.S. Public Health Service Commissioned Corps. All six were directly commissioned into the regular corps. One was already an officer in the regular corps and the other five were originally civilians who were appointed to the regular corps and to grade upon taking office.

List of admirals

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The following lists of four-star admirals are sortable by last name, date of rank. The date listed is that of the officer's first promotion to admiral, and may differ from the officer's entry in the U.S. Public Health Service register. The year commissioned is taken to be the year the officer was directly commissioned which may precede the officer's actual date of commission by up to two years. Each entry lists the admiral's name, date of rank, active-duty position held while serving at four-star rank, number of years of active-duty service at four-star rank (Yrs), year commissioned and source of commission, number of years in commission when promoted to four-star rank (YC), and other biographical notes.

# Name Photo Date of rank Position Yrs Commission YC Notes
1 masonJames O. Mason 1 Oct 1989   4 1983 (direct) 6 (1930–2019) Acting Surgeon General, 1989–1990.
2 satcherDavid Satcher 13 Feb 1998   3 1998 (direct) 0 (1941–        ) Reverted down to a vice admiral in 2001 after completing three years as ASH but remained as Surgeon General until 2002.
3 agwunobiJohn O. Agwunobi 4 Jan 2006   2 2005 (direct) 0
4 garciaJoxel García 28 Mar 2008   1 2008 (direct) 0 (1962–        ) First Puerto Rican to serve as Assistant Secretary for Health.
5 giroirBrett P. Giroir 22 Feb 2018   3 2018 (direct) 0 (1960–        ) Acting Commissioner, Food and Drugs Administration 2019.
6 levineRachel L. Levine 19 Oct 2021   3 2021 (direct) 0 (1957–        ) Secretary, Pennsylvania Department of Health, 2017–2021. First openly transgender person to achieve four-star rank in any uniformed service.

1988–present

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Rachel LevineBrett GiroirJoxel GarcíaJohn O. AgwunobiDavid SatcherJames O. Mason

Legislation

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Further information: Legislative history of United States four-star officers

The following list of Congressional legislation includes major acts of Congress pertaining to appointments to the grade of admiral in the United States Public Health Service Commissioned Corps.

Legislation Citation Summary
Act of November 3, 1990  104 Stat. 1289
  • Specified O-10 grade for a commissioned officer of the Public Health Service serving as Assistant Secretary for Health.

See also

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