Advanced Medical Transport

LBN: Coastal Care Corporation
Advanced Medical Transport is an health care organization with primary practice located at 10050 Sw Innovation Way Ste 104 , Port Saint Lucie FL 34987-2117. The organization recently has only one registered license in Transportation Services / Ambulance, which is considered as the primary health care specialty. Coastal Care Corporation can be contacted via phone (772) 223-5793, or through Longville, Timothy L. via phone (216) 636-7416.

Contact Information

Primary practice address
10050 Sw Innovation Way Ste 104 Port Saint Lucie FL 34987-2117
Phone: (772) 223-5793
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Longville, Timothy L.
Phone: (216) 636-7416

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Ambulance 341600000X 4102 Florida

Profile Details

NPI number 1386663730
LBN Legal business name Coastal Care Corporation
DBA Doing business as Advanced Medical Transport
Authorized official Longville, Timothy L.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2006
Last updated May 22nd, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386663730 NPPES
Florida MEDICAID 084593100

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