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Contact Information

COASTAL MEDICAL INC
10 DAVOL SQ
SUITE 400
PROVIDENCE, RI02903-4754
 Phone: 401-421-4000
 Fax: 401-453-3258
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for COASTAL MEDICAL INC

NPI # 1609863828
LBN Legal business name COASTAL MEDICAL INC
Authorized official MERYL MOSS - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2005
Last updated 04/01/2016 - About 10 years ago
Identifiers
RI Medicaid CM13413
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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