COASTAL HORIZONS CENTER INC


Address: 613 Shipyard Blvd, Wilmington, NC 28412-6492
Phone: 9103430145

COASTAL HORIZONS CENTER INC (NPI# 1598048175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598048175
Entity Type Organization
Organization Name COASTAL HORIZONS CENTER INC
Practice Address 613 Shipyard Blvd
Wilmington
NC 28412-6492
Mailing Address 615 Shipyard Blvd
Wilmington
NC 28412-6431
Practice Telephone 9103430145
Practice Fax Number 9103415779
Mailing Telephone 9103430145
Mailing Fax Number 9103415779
Enumeration Date 2011-09-21
Last Update Date 2011-09-21
Authorized Official Name MR. ERIC J LUTTMER (VP MEDICAL SERVICES)
Authorized Official Telephone 9103430145
Authorized Official Credential MS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1144854423 Coastal Horizons Center Inc Community/Behavioral Health 1886 Hwy 133, Rocky Point, NC 28457-8360 2020-02-26
1649765850 Coastal Horizons Center Inc Community/Behavioral Health 301 Mercer Mill Rd, Elizabethtown, NC 28337-3960 2018-06-29
1952909160 Coastal Horizons Center Inc Community/Behavioral Health 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 2020-10-12
1528613775 Coastal Horizons Center Inc Community/Behavioral Health 309 Progress Dr., Burgaw, NC 28425-5001 2019-08-05
1780142596 Coastal Horizons Center Inc Community/Behavioral Health 110 Premiere Plz, Whiteville, NC 28472-2522 2019-03-11

Office Location

Street Address 613 SHIPYARD BLVD
City WILMINGTON
State NC
Zip Code 28412-6492

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265739635 Jennifer E Biggs Physician Assistant 613 Shipyard Blvd, Wilmington, NC 28412-6492 2011-02-22
1821504465 Coastal Horizons Center Inc. Community/Behavioral Health 613 Shipyard Blvd, Wilmington, NC 28412-6492 2017-12-19
1538608666 Patrick Gregory Bruff Nurse Practitioner 613 Shipyard Blvd, Wilmington, NC 28412-6492 2017-02-22
1336559400 Cristen Williams Social Worker 613 Shipyard Blvd, Unit 102, Wilmington, NC 28412-6492 2014-04-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891357166 Alexandra Palamaru Dentist 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 2019-07-08
1447640115 Carrie Anne Emory Physician Assistant 1124 Gallery Park Blvd, #200, Wilmington, NC 28412 2015-02-02
1144639295 Christina Marie Terry Physical Therapist 7842 Champlain Dr, Wilmington, NC 28412 2014-08-03
1972889715 New Hanover House, LLC Assisted Living Facility 3915 Stedwick Court, Wilmington, NC 28412 2011-10-25
1538440672 Celine Adair Marriage & Family Therapist 9809 River Rd, Wilmington, NC 28412 2011-09-02
1033412267 American Anesthesiology of North Carolina, Pllc Anesthesiology 2520 Independence Blvd, Suite 200, Wilmington, NC 28412 2010-12-09
1932418357 Dale Autry Pharmacist 3625 South College Road, Wilmington, NC 28412 2010-10-04
1528390762 Sheila Flynn Counselor 710 St. Andrews Dr. #18, Wilmington, NC 28412 2010-02-12
1952563686 Stephen Rolfe Wells Anesthesiology 2520 Independence Boulevard, Suite 200, Wilmington, NC 28412 2008-06-25
1396902722 Henry D Browning Iv Dentist 604 Junction Creek, Wilmington, NC 28412 2008-05-22
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1215593819 Wilmington Health Pllc Clinic/Center 1811 Tiburon Dr, Wilmington, NC 28403-6254 2019-05-20
1508007121 Canterwood Medical Group Clinic/Center 2207 Canterwood Dr, Wilmington, NC 28401-7301 2009-03-11
1588101851 Edge Medical Services Clinic/Center 1209 W 8th St Apt 3, Wilmington, DE 19806-4667 2017-01-25
1891243127 Lifeline Treatment Center Clinic/Center 5710 Oleander Dr Ste 100, Wilmington, NC 28403 2016-09-15
1821441338 The Launch Pad, Inc Clinic/Center 3121 Wrightsville Ave, Wilmington, NC 28403-4111 2016-07-20
1972987253 Actavis Group Corp Clinic/Center 536 Greenhill Ave, Wilmington, DE 19805-1851 2015-07-16
1285954644 Hanover Primary Care Clinic/Center 2207 Canterwood Dr, Wilmington, NC 28401-7301 2010-06-08
1881632339 Wilmington Health Pllc Clinic/Center 1202 Medical Center Dr, Wilmington, NC 28401-7307 2006-06-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1801424171 Recover Together, Inc. Clinic/Center 59 Haywood Office Park Ste 2, Waynesville, NC 28785-6998 2020-03-31
1891330056 Veritas Collaborative Charlotte, LLC Clinic/Center 1900 Scott Ave Ste 101, Charlotte, NC 28203-6046 2019-11-12
1770135808 American Family Care Fuquay Pllc Clinic/Center 1298 N Main St, Fuquay Varina, NC 27526-2615 2019-07-09
1508424029 Shelly Renea Obasoluyi Clinic/Center 403 Atwell Dr, Fayetteville, NC 28314-0122 2019-05-30
1003472804 Loginclinics, Pllc Clinic/Center 1324 Reservoir View Ln, Wake Forest, NC 27587-1836 2019-05-16
1124586060 Bethany Christian Services of Nc Clinic/Center 1110 Navaho Dr Ste 109, Raleigh, NC 27609-7352 2019-03-11
1548740038 Hillsborough Community Urgent Care Clinic/Center 110 Boone Square St Ste 29a, Hillsborough, NC 27278-2665 2018-08-15
1679079537 Carter Clinic, Pa Clinic/Center 260 1st Ave Nw Ste 215, Hickory, NC 28601-6161 2018-03-31
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Competitor

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City WILMINGTON
Zip Code 28412

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Dataset Information

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.

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