COASTLINE CARE INC (NPI# 1437128386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437128386 |
| Entity Type | Organization |
| Organization Name | COASTLINE CARE INC |
| Practice Address |
124 W Main St Wallace NC 28466-2902 |
| Mailing Address |
Po Box 538330 Atlanta GA 30353-8330 |
| Practice Telephone | 8663437153 |
| Practice Fax Number | 7577879436 |
| Mailing Telephone | 8663437153 |
| Mailing Fax Number | 7577879436 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2012-08-28 |
| Authorized Official Name | MR. MATTHEW ELLIS (AR MANAGER) |
| Authorized Official Telephone | 75776550029 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
1522 | NC | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 0720C | 01 |
| NC | RAILROAD MEDICARE | 590011105 | 01 |
| NC | 3406665 | 05 |
| Street Address |
124 W MAIN ST |
| City | WALLACE |
| State | NC |
| Zip Code | 28466-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326518630 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 114 N Northwood St, Wallace, NC 28466 | 2018-11-29 |
| 1659891232 | Tonia Gray | Registered Nurse | 407 Fremont Street, Burgaw, NC 28466 | 2017-06-23 |
| 1164968889 | Angela Boney | Pharmacist | 5625 S Nc Hwy 41, Wallace, NC 28466 | 2017-01-19 |
| 1790111961 | Realo Discount Drug Stores of Enc, Inc | Pharmacy | 5655 S Nc 41 Hwy, Wallace, NC 28466 | 2013-09-19 |
| 1699938993 | The Lawsons House | Clinic/Center | 116 West Main St, Wallace, NC 28466 | 2008-07-07 |
| 1184842098 | Continuum Care Corporation | Assisted Living Facility | 1052 Ne Railroad St., Wallace, NC 28466 | 2007-04-23 |
| 1467677229 | Pigfords Physical Therapy Assoc Inc | Physical Therapist | 112 E Medical Village Dr, Wallace, NC 28466 | 2007-04-16 |
| 1598875379 | Wilson Family Pharmacies Inc | Pharmacy | 116 East Main St, Wallace, NC 28466 | 2006-08-30 |
| 1659317394 | Axon Darren Sholar | Dentist | 522 S Norwood St, Wallace, NC 28466 | 2006-06-21 |
| 1083121396 | Kelsey Lynn Vallee | Pharmacist | 5717 S Nc 41 Hwy, Wallace, NC 28466 | 2018-01-08 |
| Find all providers in zip 28466 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1164484242 | Wallace Rural Fire Protection District | Ambulance | 104 S Commercial Ave, Wallace, NE 69169-8047 | 2006-04-04 |
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| 1447763750 | Town of Emerald Isle | Ambulance | 7604 Emerald Dr, Emerald Isle, NC 28594-2919 | 2017-11-08 |
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| Find all providers with the same taxonomy | ||||
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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.