COASTAL COMMUNITY HEALTH SERVICES INC. NPI 1821779570

NPI Information

NPI: 1821779570
Provider Name: COASTAL COMMUNITY HEALTH SERVICES, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
10055 FORD AVE STE 4A
RICHMOND HILL, GA
ZIP 31324
Phone: (912) 275-8028
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COASTAL COMMUNITY HEALTH SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Richmond Hill, GA. COASTAL COMMUNITY HEALTH SERVICES, INC. NPI is 1821779570. The provider is registered as an organization entity type.

The provider's business location address is:

10055 FORD AVE STE 4A
RICHMOND HILL, GA
ZIP 31324-974
Phone: (912) 275-8028

The provider's authorized official is Kavanaugh Chandler .
The authorized official title is Ceo and has the following contact phone number (912) 275-8028.

The enumeration date for this NPI number is 7/26/2023 and was last updated on 7/26/2023.

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
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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