Active NPIOrganization

Coastal Medical, INC.

Non-Pharmacy Dispensing Site in Middletown, Rhode Island

NPI Number1114069218
Practice location
850 Aquidneck Ave, Middletown, RI 02842-7244
Fax
—
Last updated
October 17, 2012

Coastal Medical, INC. is a healthcare organization based in Middletown, RI. Coastal Medical, INC. practices in Middletown, RI. The NPI Number for Coastal Medical, INC. is 1114069218 and holds a License No. MD07724 (RI). The current practice location address for Coastal Medical, INC. is 850 Aquidneck Ave, Middletown, RI 02842-7244 and can be reached out via phone at 401-846-0055.

Provider Profile Details

NPI Number
1114069218
Provider Name
Coastal Medical, INC.
Provider Entity Type
Organization
Address
850 Aquidneck Ave, Middletown, RI 02842-7244
Phone Number
401-846-0055
Primary Taxonomy
Non-Pharmacy Dispensing Site · 332900000X
Organization Subpart
Yes
Parent Organization
Medvantx,inc.
Authorized Official
Kenny Heine · Dir. Of Operations · 858-625-2990
Provider Enumeration Date
February 13, 2007
Last Update Date
October 17, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
850 Aquidneck Ave
Middletown, RI 02842-7244
Zip
02842-7244
Phone Number
401-846-0055
Middletown, RI 02842Get directions →

Provider Business Mailing Address Details

Address
5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705
City
San Diego
State
CA
Zip
92121-1705
Phone Number
858-625-2990
Fax Number
858-625-2999

License Information

License Number
MD07724
License State
RI
Taxonomy
Non-Pharmacy Dispensing Site · 332900000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Coastal Medical, INC.?

The NPI number of Coastal Medical, INC. is 1114069218. It was assigned on February 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Coastal Medical, INC.?

Coastal Medical, INC. is registered under the primary taxonomy Non-Pharmacy Dispensing Site (code 332900000X), licensed in RI under license number MD07724.

Where does Coastal Medical, INC. practice?

The practice location is 850 Aquidneck Ave, Middletown, RI 02842-7244. The office can be reached at 401-846-0055 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114069218 directly on the NPPES registry website.

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