Healther Providers Data Logo


Provider Type Icon

COASTAL FOOT CENTER NPI 1790943017


NPI Information

NPI: 1790943017
Provider Name: COASTAL FOOT CENTER
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
217 STATION ST
JACKSONVILLE, NC
ZIP 28546
Phone: (910) 938-6000
Get Directions

COASTAL FOOT CENTER is a foot and ankle surgery podiatrist in Jacksonville, NC. COASTAL FOOT CENTER NPI is 1790943017. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

217 STATION ST
JACKSONVILLE, NC
ZIP 28546-304
Phone: (910) 938-6000
Fax: (910) 938-3618

The provider's authorized official is Valentine T Hamilton .
The authorized official title is Owner and has the following contact phone number (910) 938-6000.

The enumeration date for this NPI number is 5/23/2008 and was last updated on 9/16/2014.


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
1213ES0103XPodiatristFoot & Ankle Surgery222NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
108055OTHERBCBS PIN
2243119MEDICARE PIN
38908055MEDICAIDNORTH CAROLINA
4261QP1100XOTHERMEDICARE NPI TYPE1
5T64077MEDICARE UPIN

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
Remove or sync iconNPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI
Next NPI »