Coastal Care Inc
LBN: Coastal Care Inc
Coastal Care Inc is an health care organization with primary practice located at 1405 Alice St , Waycross GA 31501-4528. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Coastal Care Inc can be contacted via phone (912) 285-8822, or through Theis, Warren S via phone (912) 285-8822.
Contact Information
Primary practice address
1405 Alice St
Waycross GA 31501-4528
Phone: (912) 285-8822
Fax: (912) 490-4870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 055345 | Georgia |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 055345 | Georgia |
Profile Details
| NPI number | 1538367149 |
|---|---|
| LBN Legal business name | Coastal Care Inc |
| DBA Doing business as | |
| Authorized official | Theis, Warren S Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 5th, 2007 |
| Last updated | Jul 1st, 2024 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538367149 | NPPES |
| Georgia | MEDICAID | 672694005A |
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