COAST HEALTHCARE SUPPLY NPI 1477637205

NPI Information

NPI: 1477637205
Provider Name: COAST HEALTHCARE SUPPLY

Doing Business As: KAREN MARKARD JENKINS

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
190 E ELM ST
FORT BRAGG, CA
ZIP 95437
Phone: (707) 964-1112
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COAST HEALTHCARE SUPPLY is an oxygen equipment and supplies durable medical equipment medical supplies in Fort Bragg, CA. COAST HEALTHCARE SUPPLY NPI is 1477637205. The provider is registered as an organization entity type.
The provider Is Doing Business As Karen Markard Jenkins.

The provider's business location address is:

190 E ELM ST
FORT BRAGG, CA
ZIP 95437-026
Phone: (707) 964-1112
Fax: (707) 964-1222

The provider's authorized official is Diane Dahl .
The authorized official title is Manager and has the following contact phone number (707) 964-1112.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 8/22/2020.

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	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	102629	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DME1708F	MEDICAID	CALIFORNIA

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

NPI Synchronization or Removal

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