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COAST CARDIOVASCULAR CONSULTANTS NPI 1346656543


NPI Information

NPI: 1346656543
Provider Name: COAST CARDIOVASCULAR CONSULTANTS
Classification: Clinical Nurse Specialist - 364SA2100X
Entity Type: Organization

Specialization: Acute Care

CLIA Number: 25D0929506

Address:
1391 BROAD AVE
GULFPORT, MS
ZIP 39501
Phone: (228) 863-8868
Get Directions

COAST CARDIOVASCULAR CONSULTANTS is an acute care clinical nurse specialist in Gulfport, MS. COAST CARDIOVASCULAR CONSULTANTS NPI is 1346656543. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1391 BROAD AVE
GULFPORT, MS
ZIP 39501-419
Phone: (228) 863-8868
Fax: (228) 863-8956

The provider's authorized official is Donna Hailey .
The authorized official title is Admin Manager and has the following contact phone number (228) 392-7429.

The CLIA number assigned to this NPI record is 25D0929506 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2014 and was last updated on 7/8/2014.


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
1364SA2100XClinical Nurse SpecialistAcute CareR875526MISSISSIPPIYes

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: 11/14/2023

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