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COASTAL PLAINS COMMUNITY MHMR NPI 1487367173


NPI Information

NPI: 1487367173
Provider Name: COASTAL PLAINS COMMUNITY MHMR
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
200 MARRIOTT DR
PORTLAND, TX
ZIP 78374
Phone: (361) 777-3991
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COASTAL PLAINS COMMUNITY MHMR is a rehabilitation and substance use disorder clinic center in Portland, TX. COASTAL PLAINS COMMUNITY MHMR NPI is 1487367173. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 MARRIOTT DR
PORTLAND, TX
ZIP 78374-213
Phone: (361) 777-3991

The provider's authorized official is Christine Johnson .
The authorized official title is Reimbursement Manager and has the following contact phone number (361) 777-3991.

The enumeration date for this NPI number is 12/28/2022 and was last updated on 3/31/2023.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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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