COASTAL GATEWAY HEALTH CENTER NPI 1033832167

NPI Information

  • NPI: 1033832167
  • Provider Name: COASTAL GATEWAY HEALTH CENTER
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 45D2274731
  • Address: 2584 STATE HIGHWAY 124
    WINNIE, TX
    ZIP 77665
  • Phone: (409) 296-4444

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NPI Details

COASTAL GATEWAY HEALTH CENTER is a family medicine in Winnie, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COASTAL GATEWAY HEALTH CENTER NPI is 1033832167. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2584 STATE HIGHWAY 124
WINNIE, TX
ZIP 77665-889
Phone: (409) 296-4444

The provider's authorized official is Kaley Smith .
The authorized official title is Ceo and has the following contact phone number (409) 496-4444.

The CLIA number assigned to this NPI record is 45D2274731 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2022 and was last updated on 1/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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