COASTAL CARDIOLOGY LLC NPI 1609882216

NPI Information

NPI: 1609882216
Provider Name: COASTAL CARDIOLOGY LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
412 ALDER ST
BROOKINGS, OR
ZIP 97415
Phone: (541) 412-7799
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COASTAL CARDIOLOGY LLC is a cardiovascular disease internal medicine in Brookings, OR. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. COASTAL CARDIOLOGY LLC NPI is 1609882216. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

412 ALDER ST
BROOKINGS, OR
ZIP 97415-014
Phone: (541) 412-7799

The provider's authorized official is Richard Bodager .
The authorized official title is Ceo and has the following contact phone number (541) 789-5600.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 8/22/2020.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	2498	OREGON	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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