Coastline Care Inc

LBN: Coastline Care Inc
Coastline Care Inc is an health care organization with primary practice located at 124 W Main St , Wallace NC 28466-2902. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Coastline Care Inc can be contacted via phone (866) 343-7153, or through Ellis, Matthew via phone 75776550029.

Contact Information

Primary practice address
124 W Main St Wallace NC 28466-2902
Phone: (866) 343-7153
Fax: (757) 787-9436
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Matthew
Phone: 75776550029

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 1522 North Carolina

Profile Details

NPI number 1437128386
LBN Legal business name Coastline Care Inc
DBA Doing business as
Authorized official Ellis, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2006
Last updated Aug 28th, 2012 - about 12 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

Identifiers

StateTypeNumberIssuer
All States NPI 1437128386 NPPES
North Carolina Other 0720C BCBS
North Carolina MEDICAID 3406665 BCBS
North Carolina Other 590011105 BCBS

Popular Providers