COASTAL COMMUNITY HEALTH SERVICES INC NPI 1609298751

NPI Information

NPI: 1609298751
Provider Name: COASTAL COMMUNITY HEALTH SERVICES INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 11D2272906

Address:
106 SHOPPERS WAY
SUITE 1
BRUNSWICK, GA
ZIP 31525
Phone: (912) 275-8028
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COASTAL COMMUNITY HEALTH SERVICES INC is a federally qualified health center (fqhc) clinic center in Brunswick, GA. COASTAL COMMUNITY HEALTH SERVICES INC NPI is 1609298751. The provider is registered as an organization entity type.

The provider's business location address is:

106 SHOPPERS WAY
SUITE 1
BRUNSWICK, GA
ZIP 31525-530
Phone: (912) 275-8028
Fax: (912) 289-2085

The provider's authorized official is Barbara Meyers .
The authorized official title is Director and has the following contact phone number (912) 574-5074.

The CLIA number assigned to this NPI record is 11D2272906 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2014 and was last updated on 5/9/2022.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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

NPI Synchronization or Removal

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