Gold Coast Medical Services, Inc.

LBN: Gold Coast Medical Services Inc
Gold Coast Medical Services, Inc. is an health care organization with primary practice located at 1551 Nursery Rd , Mckinleyville CA 95519-3982. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Gold Coast Medical Services Inc can be contacted via phone (707) 633-6183, or through Wadsworth, Larry via phone (707) 443-2907.

Contact Information

Primary practice address
1551 Nursery Rd Mckinleyville CA 95519-3982
Phone: (707) 633-6183
Fax: (707) 633-6184
Website:
Map and Directions
Authorized official contact:
Name: Wadsworth, Larry
Phone: (707) 443-2907

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY42086 California

Profile Details

NPI number 1003953241
LBN Legal business name Gold Coast Medical Services Inc
DBA Doing business as Gold Coast Medical Services, Inc.
Authorized official Wadsworth, Larry
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Feb 11th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003953241 NPPES
California MEDICAID PHA420860
California Other 0538629

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