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Contact Information

COASTAL MEDICAL, INC.
450 VETERANS MEMORIAL PKWY
404
EAST PROVIDENCE, RI02914-5300
 Phone: 401-435-3400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for COASTAL MEDICAL, INC.

NPI # 1528265212
LBN Legal business name COASTAL MEDICAL, INC.
Authorized official KENNY HEINE - (VP OF OPERATIONS)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/27/2007
Last updated 01/26/2015 - About 11 years ago
Identifiers
RI License # MD12072
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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