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COASTAL MEDICAL SUPPLY COMPANY NPI 1245252857


NPI Information

NPI: 1245252857
Provider Name: COASTAL MEDICAL SUPPLY COMPANY
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3214 CHARLES B ROOT WYND STE 101
RALEIGH, NC
ZIP 27612
Phone: (919) 881-0279
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COASTAL MEDICAL SUPPLY COMPANY is a durable medical equipment medical supplies in Raleigh, NC. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. COASTAL MEDICAL SUPPLY COMPANY NPI is 1245252857. The provider is registered as an organization entity type.

The provider's business location address is:

3214 CHARLES B ROOT WYND STE 101
RALEIGH, NC
ZIP 27612-440
Phone: (919) 881-0279
Fax: (919) 881-0279

The provider's authorized official is Israel Udochukwu Ojimadu .
The authorized official title is Administrator and has the following contact phone number (919) 232-5270.

The enumeration date for this NPI number is 7/24/2006 and was last updated on 11/6/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15140940001MEDICARE NSCNORTH CAROLINA

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: 4/28/2024

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