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Contact Information

COASTAL MED TECH INC
844 US ROUTE 2 E
WILTON, ME04294-3864
 Phone: 207-645-3343
 Fax: 207-645-3338
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
Indicates primary specialty

NPI Profile & details for COASTAL MED TECH INC

NPI # 1376801084
LBN Legal business name COASTAL MED TECH INC
Authorized official SHANNON SEVEY - (COMPLIANCE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/01/2012
Last updated 10/05/2016 - About 10 years ago
Identifiers
ME License # 1145929
ME Medicaid 118860000
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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