COASTAL CAROLINA PROSTHETICS & ORTHOTICS, INC. (NPI# 1912437930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912437930 |
Entity Type | Organization |
Organization Name | COASTAL CAROLINA PROSTHETICS & ORTHOTICS, INC. |
Practice Address |
1970 W Arlington Blvd Ste A Greenville NC 27834-5783 |
Mailing Address |
106 Medical Dr Elizabeth City NC 27909-3361 |
Practice Telephone | 2523789770 |
Practice Fax Number | 2523789880 |
Enumeration Date | 2017-06-13 |
Last Update Date | 2017-07-21 |
Authorized Official Name | MRS. CYNTHIA T MONROE (CORPORATE MANAGER) |
Authorized Official Telephone | 2523383002 |
Is Organization Subpart | Y |
Parent Organization Name | ALBEMARLE ORTHOTICS & PROSTHETICS, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790233385 | Coastal Carolina Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 1715 Country Club Rd Ste B, Jacksonville, NC 28546-6042 | 2016-09-13 |
1386842193 | Coastal Carolina Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 103 Nc Highway 42 W, Ahoskie, NC 27910-9725 | 2007-07-03 |
1760583033 | Coastal Carolina Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 148 Burnetts Way Ste 104, Suffolk, VA 23434-6149 | 2006-09-26 |
1124096292 | Coastal Carolina Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 106 Medical Drive, Elizabeth City, NC 27909 | 2006-03-14 |
1710344304 | Coastal Carolina Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 2800 Ashton Dr Ste 201, Wilmington, NC 28412-2486 | 2016-01-27 |
1659472926 | Coastal Carolina Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 405 W 15th St, Washington, NC 27889-3524 | 2006-09-26 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | COASTAL CAROLINA PROSTHETICS & ORTHOTICS, INC. | 103 Nc Hwy 42 W, Ahoskie, NC 27910-9725 |
Street Address |
1970 W ARLINGTON BLVD STE A |
City | GREENVILLE |
State | NC |
Zip Code | 27834-5783 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
Find all providers in zip 27834 |
Taxonomy Code | 332BC3200X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Customized Equipment |
Definition to come... |
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1164986717 | Rxlink Medical | Durable Medical Equipment & Medical Supplies | N922 Tower View Dr Ste 202, Greenville, WI 54942 | 2019-01-29 |
1295113892 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 16b Brozzini Ct, Greenville, SC 29615-5339 | 2015-05-14 |
1588924773 | Ronita Stanford | Durable Medical Equipment & Medical Supplies | 1100 Charles Blvd Ste B, Greenville, NC 27858-3300 | 2012-05-21 |
1114283413 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 20 Grand Ave Ste D, Greenville, SC 29607-2161 | 2012-04-11 |
1780985911 | Brooks Prosthetics and Orthotics | Durable Medical Equipment & Medical Supplies | 527 Mills Ave Ste 101b, Greenville, SC 29605-5602 | 2010-11-04 |
1508012105 | Livewell Medical Inc | Durable Medical Equipment & Medical Supplies | 7530 White Horse Road, Unit C, Greenville, SC 29611-2000 | 2008-08-14 |
1326248550 | Stalls Medical, Inc. | Durable Medical Equipment & Medical Supplies | 3604 Marine Dr, Greenville, NC 27834-8308 | 2007-07-25 |
1245379171 | Matthew J Mccullough Dmd PC | Durable Medical Equipment & Medical Supplies | 1300 E City Route 40, Greenville, IL 62246-2501 | 2007-02-06 |
1720182330 | Kathy J Adams | Durable Medical Equipment & Medical Supplies | 39 Hadley Rd, Greenville, PA 16125-1239 | 2006-09-12 |
1134139421 | Carelinc Medical Equipment & Supply Co LLC | Durable Medical Equipment & Medical Supplies | 919 W Washington St, Greenville, MI 48838-2164 | 2006-08-09 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 27834 |
Please comment or provide details below to improve the information on COASTAL CAROLINA PROSTHETICS & ORTHOTICS, 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.