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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

NPI # 1629009642
LBN Legal business name COATESVILLE CLINIC COMPANY LLC
Authorized official ROBERT EHINGER - (SR VP FINANCIAL OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 07/06/2006
Last updated 11/19/2021 - About 5 years ago
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
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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