Coastal Medical, INC.
Non-Pharmacy Dispensing Site in Providence, Rhode Island
1114124864- Practice location
- 1075 Smith St, 2ND Floor, Providence, RI 02908-2700
- Phone
- 401-421-4400
- Fax
- —
- Last updated
- October 24, 2013
Coastal Medical, INC. is a healthcare organization based in Providence, RI. Coastal Medical, INC. practices in Providence, RI. The NPI Number for Coastal Medical, INC. is 1114124864 and holds a License No. MD08852 (RI). The current practice location address for Coastal Medical, INC. is 1075 Smith St, 2ND Floor, Providence, RI 02908-2700 and can be reached out via phone at 401-421-4400.
Provider Profile Details
- NPI Number
- 1114124864
- Provider Name
- Coastal Medical, INC.
- Provider Entity Type
- Organization
- Address
- 1075 Smith St, 2ND Floor, Providence, RI 02908-2700
- Phone Number
- 401-421-4400
- Primary Taxonomy
- Non-Pharmacy Dispensing Site · 332900000X
- Organization Subpart
- Yes
- Parent Organization
- Medvantx, INC
- Authorized Official
- Kenny Heine · Vp Of Operations · 858-625-2990
- Other Names
- Coastal Medical - Elmhurst (Doing Business As)
- Provider Enumeration Date
- June 27, 2007
- Last Update Date
- October 24, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1075 Smith St
2ND Floor
Providence, RI 02908-2700 - City
- Providence
- State
- Rhode Island
- Zip
- 02908-2700
- Phone Number
- 401-421-4400
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
License Information
- License Number
- MD08852
- License State
- RI
- Taxonomy
- Non-Pharmacy Dispensing Site · 332900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Non-Pharmacy Dispensing Site providers near Providence, RI
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Frequently Asked Questions
What is the NPI number of Coastal Medical, INC.?
The NPI number of Coastal Medical, INC. is 1114124864. It was assigned on June 27, 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 MD08852.
Where does Coastal Medical, INC. practice?
The practice location is 1075 Smith St, 2ND Floor, Providence, RI 02908-2700. The office can be reached at 401-421-4400 (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 1114124864 directly on the NPPES registry website.