COASTAL COMMUNITY HEALTH SERVICES INC. NPI 1023359395

NPI Information

  • NPI: 1023359395
  • Provider Name: COASTAL COMMUNITY HEALTH SERVICES, INC.
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 11D2302615
  • Address: 700 COASTAL VILLAGE DR
    BRUNSWICK, GA
    ZIP 31520
  • Phone: (912) 554-8510

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NPI Details

COASTAL COMMUNITY HEALTH SERVICES, INC. is a clinic center in Brunswick, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). COASTAL COMMUNITY HEALTH SERVICES, INC. NPI is 1023359395. The provider is registered as an organization entity type.

The provider's business location address is:

700 COASTAL VILLAGE DR
BRUNSWICK, GA
ZIP 31520-974
Phone: (912) 554-8510

The provider's authorized official is Rachel N Skinner .
The authorized official title is Director Of Reimbursement and has the following contact phone number (912) 554-8498.

The CLIA number assigned to this NPI record is 11D2302615 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/11/2013 and was last updated on 3/11/2013.

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
1261Q00000XClinic/CenterYes

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: 3/30/2025

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