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Contact Information

COASTAL MANOR CORPORATION
20 W MAIN ST
YARMOUTH, ME04096-8412
 Phone: 207-846-5013
 Fax: 207-846-2252
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for COASTAL MANOR CORPORATION

NPI # 1811990757
LBN Legal business name COASTAL MANOR CORPORATION
Authorized official OREY GADWAY - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2005
Last updated 07/21/2015 - About 11 years ago
Identifiers
ME License # 36175
ME Medicaid 115010000
ME Other 040823 ANTHEM BC
ME Other 141P10285 MEDICARE PART A
ME Other 205157 MEDICARE PTAN
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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