Active NPIOrganization

Coastal Medical, INC.

Non-Pharmacy Dispensing Site in Johnston, Rhode Island

NPI Number1992847099
Practice location
1524 Atwood Ave, Ste. 340, Johnston, RI 02919-3228
Fax
—
Last updated
October 17, 2012

Coastal Medical, INC. is a healthcare organization based in Johnston, RI. Coastal Medical, INC. practices in Johnston, RI. The NPI Number for Coastal Medical, INC. is 1992847099 and holds a License No. MD05547 (RI). The current practice location address for Coastal Medical, INC. is 1524 Atwood Ave, Ste. 340, Johnston, RI 02919-3228 and can be reached out via phone at 401-949-0300.

Provider Profile Details

NPI Number
1992847099
Provider Name
Coastal Medical, INC.
Provider Entity Type
Organization
Address
1524 Atwood Ave, Ste. 340, Johnston, RI 02919-3228
Phone Number
401-949-0300
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
1524 Atwood Ave
Ste. 340
Johnston, RI 02919-3228
Zip
02919-3228
Phone Number
401-949-0300
Johnston, RI 02919Get 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

License Information

License Number
MD05547
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 1992847099. 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 MD05547.

Where does Coastal Medical, INC. practice?

The practice location is 1524 Atwood Ave, Ste. 340, Johnston, RI 02919-3228. The office can be reached at 401-949-0300 (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 1992847099 directly on the NPPES registry website.

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