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Contact Information

AMERICOAST MARYLAND LLC
8249 BACKLICK RD STE K
LORTON, VA22079-1464
 Phone: 571-209-5171
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for AMERICOAST MARYLAND LLC

NPI Number 1942308754
LBN Legal business name AMERICOAST MARYLAND LLC
Authorized official WENDY RUSSALESI - (CCO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 12/09/2025 - About 6 months ago
Identifiers
MD Medicaid 4233204 00
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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