Coastal Medical Clinic

LBN: Rockport Medical Clinic Llc
Coastal Medical Clinic is an health care organization with primary practice located at 1704 Jenkins St , Rockport TX 78382-3341. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Rockport Medical Clinic Llc can be contacted via phone (361) 790-9047, or through Bingham, Randy D. via phone (361) 790-9047.

Contact Information

Primary practice address
1704 Jenkins St Rockport TX 78382-3341
Phone: (361) 790-9047
Fax: (361) 790-9615
Website:
Map and Directions
Authorized official contact:
Name: Bingham, Randy D. Physician Assistant (PA)
Phone: (361) 790-9047

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X Texas
Ambulatory Health Care Facilities / Rural Health 261QR1300X 673904 Texas

Profile Details

NPI number 1780869065
LBN Legal business name Rockport Medical Clinic Llc
DBA Doing business as Coastal Medical Clinic
Authorized official Bingham, Randy D. Physician Assistant (PA)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2008
Last updated Dec 6th, 2022 - about 2 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 1780869065 NPPES
Texas Other 0082RB BLUE CROSS
Texas MEDICAID 196052801 BLUE CROSS
Texas Other 196052802 BLUE CROSS

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