Coastal Medical - Elmhurst

LBN: Coastal Medical, Inc.
Coastal Medical - Elmhurst is an health care organization with primary practice located at 1075 Smith St 2Nd Floor, Providence RI 02908-2700. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Coastal Medical, Inc. can be contacted via phone (401) 421-4400, or through Heine, Kenny via phone (858) 625-2990.

Contact Information

Primary practice address
1075 Smith St 2Nd Floor Providence RI 02908-2700
Phone: (401) 421-4400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Heine, Kenny
Phone: (858) 625-2990

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X MD08852 Rhode Island

Profile Details

NPI number 1114124864
LBN Legal business name Coastal Medical, Inc.
DBA Doing business as Coastal Medical - Elmhurst
Authorized official Heine, Kenny
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 27th, 2007
Last updated Oct 24th, 2013 - about 11 years 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.

Request for update

Popular Providers