COASTLINE MEDICAL LLC (NPI# 1295334571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295334571 |
| Entity Type | Organization |
| Organization Name | COASTLINE MEDICAL LLC |
| Practice Address |
9928 Old Ocean City Blvd Ste 10 Berlin MD 21811-1170 |
| Mailing Address |
Po Box 165 Berlin MD 21811-0165 |
| Practice Telephone | 4102022770 |
| Practice Fax Number | 4102200709 |
| Mailing Telephone | 4102022770 |
| Mailing Fax Number | 4102200709 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | MARK HAMMOND (PRES) |
| Authorized Official Telephone | 4432354178 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
9928 OLD OCEAN CITY BLVD STE 10 |
| City | BERLIN |
| State | MD |
| Zip Code | 21811-1170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
| 1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
| 1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
| 1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
| 1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
| 1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
| 1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
| 1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
| Find all providers in zip 21811 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548767395 | Premier Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 4925 West Main St., Berlin, OH 44681 | 2018-04-09 |
| 1851791479 | Sw Wong LLC | Durable Medical Equipment & Medical Supplies | 69 Clementon Rd, Suite 1, Berlin, NJ 08009-1369 | 2014-09-02 |
| 1780096123 | Delmarva Diabetic Supply LLC | Durable Medical Equipment & Medical Supplies | 9928 Old Ocean City Blvd Ste 9, Berlin, MD 21811-1170 | 2014-05-20 |
| 1891917472 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 980 Farmington Ave, Berlin, CT 06037-2219 | 2007-05-03 |
| 1083778229 | Schuster's Shoes,inc. | Durable Medical Equipment & Medical Supplies | 170 W White Horse Pike, Berlin, NJ 08009-2003 | 2006-12-21 |
| 1821176124 | Glenn F Devries | Durable Medical Equipment & Medical Supplies | 322 Broadway St, Berlin, WI 54923-1706 | 2006-11-02 |
| 1508958109 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1 W White Horse Pike, Berlin, NJ 08009-1233 | 2006-09-29 |
| 1376642587 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 186 South White Horse Pike, Berlin, NJ 08009-1932 | 2006-09-22 |
| 1962514539 | Medstar Surgical & Breathing Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 201 Christian Ln, Unit C, Berlin, CT 06037-1451 | 2006-08-31 |
| 1306957568 | Rite Aid of Maryland Inc | Durable Medical Equipment & Medical Supplies | 11011 Manklin Creek Road, Berlin, MD 21811-4010 | 2006-08-31 |
| Find all providers in BERLIN | ||||
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| 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.