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COASTALCARE NPI 1316006075


NPI Information

NPI: 1316006075
Provider Name: COASTALCARE
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
3809 SHIPYARD BLVD
WILMINGTON, NC
ZIP 28403
Phone: (910) 550-2600
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COASTALCARE is a community behavioral health in Wilmington, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. COASTALCARE NPI is 1316006075. The provider is registered as an organization entity type.

The provider's business location address is:

3809 SHIPYARD BLVD
WILMINGTON, NC
ZIP 28403-150
Phone: (910) 550-2600
Fax: (910) 550-2570

The provider's authorized official is Glenna Harford .
The authorized official title is Cfo and has the following contact phone number (910) 550-2567.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 8/21/2013.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)MHL065007NORTH CAROLINANo
2251S00000XCommunity/Behavioral HealthMHL 065-007NORTH 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
13404933MEDICAIDNORTH CAROLINA
23408379MEDICAIDNORTH CAROLINA
30171MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINAGROUP PRICING NUMBER

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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