Coastal Medical, INC.
Non-Pharmacy Dispensing Site in Cranston, Rhode Island
1184767022- Practice location
- 761 Park Ave, Cranston, RI 02910-2137
- Phone
- 401-467-3460
- Fax
- —
- Last updated
- October 17, 2012
Coastal Medical, INC. is a healthcare organization based in Cranston, RI. Coastal Medical, INC. practices in Cranston, RI. The NPI Number for Coastal Medical, INC. is 1184767022 and holds a License No. MD06986 (RI). The current practice location address for Coastal Medical, INC. is 761 Park Ave, Cranston, RI 02910-2137 and can be reached out via phone at 401-467-3460.
Provider Profile Details
- NPI Number
- 1184767022
- Provider Name
- Coastal Medical, INC.
- Provider Entity Type
- Organization
- Address
- 761 Park Ave, Cranston, RI 02910-2137
- Phone Number
- 401-467-3460
- Primary Taxonomy
- Non-Pharmacy Dispensing Site · 332900000X
- Organization Subpart
- Yes
- Parent Organization
- Medvantx,inc
- Authorized Official
- Kenny Heine · Director Of Operations · 858-625-2990
- Provider Enumeration Date
- February 14, 2007
- Last Update Date
- October 17, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 761 Park Ave
Cranston, RI 02910-2137 - City
- Cranston
- State
- Rhode Island
- Zip
- 02910-2137
- Phone Number
- 401-467-3460
Provider Business Mailing Address Details
- Address
- 5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705 - City
- San Diego
- State
- CA
- Zip
- 92121-1705
License Information
- License Number
- MD06986
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Coastal Medical, INC.?
The NPI number of Coastal Medical, INC. is 1184767022. It was assigned on February 14, 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 MD06986.
Where does Coastal Medical, INC. practice?
The practice location is 761 Park Ave, Cranston, RI 02910-2137. The office can be reached at 401-467-3460 (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 1184767022 directly on the NPPES registry website.