COASTAL COMMUNITY HEALTH SERVICES INC. NPI 1225808199

NPI Information

NPI: 1225808199
Provider Name: COASTAL COMMUNITY HEALTH SERVICES, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
308 BEDELL AVE
WOODBINE, GA
ZIP 31569
Phone: (912) 275-8028
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COASTAL COMMUNITY HEALTH SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Woodbine, GA. COASTAL COMMUNITY HEALTH SERVICES, INC. NPI is 1225808199. The provider is registered as an organization entity type.

The provider's business location address is:

308 BEDELL AVE
WOODBINE, GA
ZIP 31569-091
Phone: (912) 275-8028

The provider's authorized official is Kavanaugh Chandler .
The authorized official title is Ceo and has the following contact phone number (912) 275-8028.

The enumeration date for this NPI number is 1/3/2024 and was last updated on 1/3/2024.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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: 5/5/2024

NPI Synchronization or Removal

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