Coastal Medical, INC.
Non-Pharmacy Dispensing Site in Wakefield, Rhode Island
1720128499- Practice location
- 70 Kenyon Ave, Suite 321, Wakefield, RI 02879-4239
- Phone
- 401-783-0084
- Fax
- 401-782-0005
- Last updated
- April 24, 2013
Coastal Medical, INC. is a healthcare organization based in Wakefield, RI. Coastal Medical, INC. practices in Wakefield, RI. The NPI Number for Coastal Medical, INC. is 1720128499 and holds a License No. MD06582 (RI). The current practice location address for Coastal Medical, INC. is 70 Kenyon Ave, Suite 321, Wakefield, RI 02879-4239 and can be reached out via phone at 401-783-0084 and via fax at 401-782-0005.
Provider Profile Details
- NPI Number
- 1720128499
- Provider Name
- Coastal Medical, INC.
- Provider Entity Type
- Organization
- Address
- 70 Kenyon Ave, Suite 321, Wakefield, RI 02879-4239
- Phone Number
- 401-783-0084
- Fax Number
- 401-782-0005
- Primary Taxonomy
- Non-Pharmacy Dispensing Site · 332900000X
- Organization Subpart
- Yes
- Parent Organization
- Medvantx,inc
- Authorized Official
- Mr. Kenny Heine · Vp Of Operations · 858-625-2990
- Other Names
- Coastal Medical - Wakefield Medical (Doing Business As)
- Provider Enumeration Date
- February 8, 2007
- Last Update Date
- April 24, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 70 Kenyon Ave
Suite 321
Wakefield, RI 02879-4239 - City
- Wakefield
- State
- Rhode Island
- Zip
- 02879-4239
- Phone Number
- 401-783-0084
- Fax Number
- 401-782-0005
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
- MD06582
- 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 1720128499. It was assigned on February 8, 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 MD06582.
Where does Coastal Medical, INC. practice?
The practice location is 70 Kenyon Ave, Suite 321, Wakefield, RI 02879-4239. The office can be reached at 401-783-0084 (phone) or 401-782-0005 (fax).
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 1720128499 directly on the NPPES registry website.