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Contact Information

COATESVILLE CLINIC COMPANY LLC
213 REECEVILLE RD
STE 23
COATESVILLE, PA19320-1528
 Phone: 610-384-6550
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Surgery

208600000X 02 Physician/General Surgery
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for COATESVILLE CLINIC COMPANY LLC · (Female)

NPI # 1629009642
Status Active
Credentials
Entity Individual
Enumeration date 07/06/2006
Last updated 11/19/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA Medicaid 1015851470002
  • PA Medicaid 1015851470003
  • PA Medicaid 1015851470007
  • PA Medicaid 1015851470009
  • PA Medicaid 1015851470010
  • PA Other 1846059 BCBS
  • PA Other 1848182 BCBS
  • PA Other 1872587 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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