COASTAL MED-TECH CORP. (NPI# 1912475609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912475609 |
| Entity Type | Organization |
| Organization Name | COASTAL MED-TECH CORP. |
| Practice Address |
1113 Stillwater Ave Bangor ME 04401-2617 |
| Mailing Address |
1019 Town Dr Highland Heights KY 41076-9114 |
| Practice Telephone | 2079074506 |
| Mailing Telephone | 8594418876 |
| Mailing Fax Number | 8594415850 |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2019-12-16 |
| Authorized Official Name | GREG CRAWFORD (CEO) |
| Authorized Official Telephone | 8594418876 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639647324 | Coastal Med-tech Corp. | Durable Medical Equipment & Medical Supplies | 826 Kennedy Memorial Dr, Oakland, ME 04963-4825 | 2018-11-12 |
| 1558839241 | Coastal Med-tech Corp. | Durable Medical Equipment & Medical Supplies | 475 Pleasant St Ste 23, Lewiston, ME 04240-3951 | 2018-11-12 |
| 1457829145 | Coastal Med-tech Corp. | Durable Medical Equipment & Medical Supplies | 844 Us Route 2 E, Wilton, ME 04294-3864 | 2018-11-12 |
| 1881652162 | Coastal Med-tech Corp. | Durable Medical Equipment & Medical Supplies | 25 Douglas Hwy, Lamoine, ME 04605-2522 | 2006-05-03 |
| Street Address |
1113 STILLWATER AVE |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417425117 | Black Bear Medical, Inc. | Durable Medical Equipment & Medical Supplies | 1113 Stillwater Ave, Bangor, ME 04401-2617 | 2018-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| 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 |
|---|---|---|---|---|
| 1235643289 | Hudson Home Health Care, Inc. | Durable Medical Equipment & Medical Supplies | 625 Broadway Unit C, Bangor, ME 04401-3375 | 2017-11-29 |
| 1144613712 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 42 Cedar St Unit 1, Bangor, ME 04401-6433 | 2015-03-06 |
| 1114255049 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 97 Oak St, Bangor, ME 04401-6516 | 2009-12-04 |
| 1770758898 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 706 Broadway, Bangor, ME 04401-3340 | 2008-04-29 |
| 1841349826 | Medical Depot & Uniform Shop Inc | Durable Medical Equipment & Medical Supplies | 189 State St, Bangor, ME 04401-5410 | 2007-01-09 |
| 1245304112 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 1010 Stillwater Ave Ste 1016, Bangor, ME 04401-2616 | 2006-11-20 |
| 1013081777 | Rite Aid of Maine Inc | Durable Medical Equipment & Medical Supplies | 713 Broadway, Bangor, ME 04401-3225 | 2006-11-17 |
| 1689745093 | Rite Aid of Maine Inc | Durable Medical Equipment & Medical Supplies | 226 Union Street, Bangor, ME 04401-6160 | 2006-11-10 |
| 1447332598 | Adco Surgical Supply | Durable Medical Equipment & Medical Supplies | 1292 Hammond St, Bangor, ME 04401-5708 | 2006-10-19 |
| 1447349188 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 450 Blue Valley Drive, Bangor, PA 18013-1525 | 2006-10-12 |
| Find all providers in BANGOR | ||||
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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.