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COASTAL MEDICAL LLC NPI 1104559491


NPI Information

NPI: 1104559491
Provider Name: COASTAL MEDICAL LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2225 NW STEWART PKWY STE 200B
ROSEBURG, OR
ZIP 97471
Phone: (458) 803-0999
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COASTAL MEDICAL LLC is a durable medical equipment medical supplies in Roseburg, OR. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. COASTAL MEDICAL LLC NPI is 1104559491. The provider is registered as an organization entity type.

The provider's business location address is:

2225 NW STEWART PKWY STE 200B
ROSEBURG, OR
ZIP 97471-650
Phone: (458) 803-0999
Fax: (458) 803-0900

The provider's authorized official is Mehrdad Gerami .
The authorized official title is President and has the following contact phone number (541) 982-5040.

The enumeration date for this NPI number is 7/5/2022 and was last updated on 9/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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