1740318021 NPI number — COASTAL MED TECH, INC.

Table of content: (NPI 1740318021)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740318021 NPI number — COASTAL MED TECH, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COASTAL MED TECH, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740318021
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/13/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
210 COLLEGE AVE.
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WATERVILLE
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04901
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-872-7351
Provider Business Mailing Address Fax Number:
207-872-7310

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
210 COLLEGE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WATERVILLE
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-872-7351
Provider Business Practice Location Address Fax Number:
207-872-7310
Provider Enumeration Date:
03/01/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SEVEY
Authorized Official First Name:
SHANNON
Authorized Official Middle Name:
Authorized Official Title or Position:
COMPLIANCE OFFICER
Authorized Official Telephone Number:
207-848-7152

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X , with the licence number:  1142511 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 118860000 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".




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