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Contact Information

COASTAL HEALTH SYSTEMS OF BREVARD, INC.
486 GUS HIPP BLVD
ROCKLEDGE, FL32955-4800
 Phone: 321-633-7050
 Fax: 321-632-3005
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
 

Land Transport

3416L0300X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for COASTAL HEALTH SYSTEMS OF BREVARD, INC.

NPI Number 1235103029
LBN Legal business name COASTAL HEALTH SYSTEMS OF BREVARD, INC.
Authorized official ANDREA TAYLOR - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/16/2006
Last updated 12/30/2024 - More than a year ago
Identifiers
FL License # 002591
FL Medicaid 086957100
FL Other A0608 AMBULANCE
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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