COASTAL BEND WELLNESS FOUNDATION INC (NPI# 1144523671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144523671 |
| Entity Type | Organization |
| Organization Name | COASTAL BEND WELLNESS FOUNDATION INC |
| Practice Address |
2882 Holly Rd. Corpus Christi TX 78415 |
| Mailing Address |
5633 S Staples St Ste 700 Corpus Christi TX 78411-4679 |
| Practice Telephone | 3618142001 |
| Practice Fax Number | 3618831998 |
| Mailing Telephone | 3618142001 |
| Mailing Fax Number | 3618831998 |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | MR. BILL JERON HOELSCHER (CEO) |
| Authorized Official Telephone | 3618142001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 291803903 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5633 S Staples St, Suite 700, Corpus Christi, TX 784114646 | 3618142001 | 3618831998 |
| Street Address |
2882 HOLLY RD. |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639702236 | The Landing At Corpus Christi | Residential Treatment Facility, Emotionally Disturbed Children | 2058 Fm 665, Corpus Christi, TX 78415 | 2020-02-21 |
| 1578093506 | Texas Wellness Center of Corpus Christi Pllc | Chiropractor | 6122 Kostoryz Road, 102, Corpus Christi, TX 78415 | 2017-06-13 |
| 1740574300 | William Lee Townsend | Technician, Other | 2910 South Padre Island Drive, Corpus Christi, TX 78415 | 2011-06-01 |
| 1528230422 | True Medical Imaging | Clinic/Center | 3502 Spid, Corpus Christi, TX 78415 | 2008-03-31 |
| 1396949152 | Medical Specialist Group Pa | Physical Medicine & Rehabilitation | 3434 Saratoga Boulevard, Corpus Christi, TX 78415 | 2007-06-13 |
| 1396809158 | Access Rehab & Mobility LLC | Durable Medical Equipment & Medical Supplies | 4531 Ayers St, Suite 304, Corpus Christi, TX 78415 | 2006-12-19 |
| 1912065954 | Jorge S Rodriguez | Legal Medicine | 3845 Spid, Corpus Christi, TX 78415 | 2006-12-04 |
| 1407920200 | Charles Albert Votzmeyer Jr. | Chiropractor | 3434 Saratoga 102, Corpus Christi, TX 78415 | 2006-11-20 |
| 1144390899 | American Habilitation Services Inc | Intermediate Care Facility, Mentally Retarded | 3031 Mcardle, Corpus Christi, TX 78415 | 2006-11-09 |
| 1982781381 | T.l.c. Adult Day Care Centers, Inc. | Clinic/Center | 4410 Dillon Ln Ste 51, Corpus Christi, TX 78415 | 2006-11-01 |
| Find all providers in zip 78415 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| City | CORPUS CHRISTI |
| Zip Code | 78415 |
Please comment or provide details below to improve the information on COASTAL BEND WELLNESS FOUNDATION INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.