COASTAL COUNTY IMAGING SERVICES, LLC (NPI# 1841304466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841304466 |
| Entity Type | Organization |
| Organization Name | COASTAL COUNTY IMAGING SERVICES, LLC |
| Practice Address |
4320 15th St Ste B Gulfport MS 39501-2524 |
| Practice Telephone | 2288682780 |
| Practice Fax Number | 2288684930 |
| Mailing Telephone | 2288682780 |
| Mailing Fax Number | 2288684930 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2010-02-15 |
| Authorized Official Name | DR. FRANK ALAN LOVELL (DIRECTOR) |
| Authorized Official Telephone | 2288682780 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
4320 15TH ST STE B |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-2524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437150323 | Judith L. Corey | Radiology | 4320 15th St, Suite A, Gulfport, MS 39501-2524 | 2005-08-02 |
| 1972565489 | James William Keating | Specialist | 4320 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-04-03 |
| 1609877356 | Smb Radiology Pa | Radiology | 4320 15th St, Suite A, Gulfport, MS 39501-2524 | 2005-08-03 |
| 1407857394 | Barbara N Massony | Radiology | 4320 15th St, Suite A, Gulfport, MS 39501-2524 | 2005-08-02 |
| 1932100898 | Hoshall S Barrett Jr. | Radiology | 4320 15th St, Sutie A, Gulfport, MS 39501-2524 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114174539 | Radiology Clinic | Clinic/Center | 2400 Fifth Street North, Columbus, MS 39705-2000 | 2008-08-27 |
| 1902004997 | Miss-lou Ct Center, LLC | Clinic/Center | 140 Jeff Davis Blvd, Suite B, Natchez, MS 39120-5104 | 2007-07-11 |
| 1568558385 | Central Ms Imaging LLC Dba Southern Diagnostic Imaging | Clinic/Center | 1037 N Flowood Dr, Flowood, MS 39232-9533 | 2006-10-05 |
| 1528179611 | Ridgeland Diagnostic Center | Clinic/Center | 730 Ridgewood Rd Ste C, Ridgeland, MS 39157-4426 | 2006-08-31 |
| 1275568347 | Preferred Imaging, LLC | Clinic/Center | 575 Highway 6 E, Batesville, MS 38606-3003 | 2006-07-11 |
| 1710351572 | Alliance Healthcare Services Inc | Clinic/Center | 1901 Mission 66, Vicksburg, MS 39180-3711 | 2015-11-17 |
| 1013217074 | Sharkey Issaquena Comm Hospital - Radiology | Clinic/Center | 47 S Fourth St, Rolling Fork, MS 39159-5146 | 2010-10-25 |
| 1356520613 | Catx, Inc | Clinic/Center | 1421 E Peace St, A, Canton, MS 39046-4938 | 2007-11-02 |
| 1841404985 | Neshoba Physician Billing Service | Clinic/Center | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2007-05-09 |
| 1265528467 | Open Mri of Jackson, LLC | Clinic/Center | 1 Layfair Dr, Suite 315, Flowood, MS 39232-9717 | 2006-10-05 |
| 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.