COASTAL PLAINS COMMUNITY MHMR CENTER (NPI# 1194104026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194104026 |
| Entity Type | Organization |
| Organization Name | COASTAL PLAINS COMMUNITY MHMR CENTER |
| Other Organization Name | COASTAL PLAINS COMMUNITY CENTER |
| Practice Address |
200 Marriott Drive Portland TX 78374-2213 |
| Mailing Address |
P.o. Box 1336 Portland TX 78374-2213 |
| Practice Telephone | 3617773991 |
| Practice Fax Number | 3617770610 |
| Mailing Telephone | 3617773991 |
| Mailing Fax Number | 3617770610 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | MR. MARK DURAND (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3617773991 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Coastal Plains Community Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114057700 | Coastal Plains Community Mhmr Center | Counselor | 200 Marriott Dr, Portland, TX 78374-2213 | 2007-03-06 |
| 1316090186 | Coastal Plains Community Mhmr Center | Day Training, Developmentally Disabled Services | 200 Marriott Dr, Portland, TX 78374-2213 | 2007-01-18 |
| 1023161890 | Coastal Plains Community Mhmr Center | Day Training, Developmentally Disabled Services | 200 Marriott Dr, Portland, TX 78374-2213 | 2007-01-18 |
| 1861544124 | Coastal Plains Community Mhmr Center | Case Management | 200 Marriott Dr, Portland, TX 78374-2213 | 2007-01-17 |
| 1770635039 | Coastal Plains Community Mhmr Center | Clinic/Center | 200 Marriott Dr, Portland, TX 78374-2213 | 2007-01-17 |
| 1932251295 | Coastal Plains Community Mhmr Center | Case Management | 200 Marriott Dr, Portland, TX 78374-2213 | 2007-01-17 |
| 1851443113 | Coastal Plains Community Mhmr Center | Case Management | 200 Marriott Dr, Portland, TX 78374-2213 | 2007-01-17 |
| 1962552109 | Coastal Plains Community Mhmr Center | Psychiatry & Neurology | 200 Marriott Dr, Portland, TX 78374-2213 | 2007-01-11 |
| Street Address |
200 MARRIOTT DRIVE |
| City | PORTLAND |
| State | TX |
| Zip Code | 78374-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700407350 | Emad Banoub | Pharmacist | 1105 Hyw 181, Portland, TX 78374 | 2020-05-05 |
| 1184256893 | Rebecca Lovins | Behavior Technician | 304, Frio Dr, Portland, TX 78374 | 2020-02-11 |
| 1760962997 | Kimberly Beal | Licensed Vocational Nurse | 201 Sabine St, Portland, TX 78374 | 2018-08-16 |
| 1134577836 | Christopher Tipton | Specialist/Technologist | 4800 Wildcat Dr., Portland, TX 78374 | 2016-06-03 |
| 1134592629 | Coastal Bend Physicians Pllc | Clinic/Center | 1860 Us Highway 181, Suite C, Portland, TX 78374 | 2015-11-05 |
| 1093191397 | Coastal Er IIi, LLC | Clinic/Center | 1860 Highway 181 Frontage Road, Ste C, Portland, TX 78374 | 2015-08-10 |
| 1376942466 | Allen Portland Dentistry Associates Pllc | Dentist | 101 Cox Dr., Portland, TX 78374 | 2014-08-14 |
| 1699188284 | Leola Brumley | Speech-Language Pathologist | 2002 Matagorda Dr., Portland, TX 78374 | 2014-06-11 |
| 1780937607 | Erika Kristine De La Garza | Nurse Practitioner | 1702 Hwy. 181 North, Portland, TX 78374 | 2012-10-16 |
| 1538355219 | Andrew Marcus Rosendahl | Physician Assistant | 1912 Falcon Drive, Portland, TX 78374 | 2007-09-17 |
| Find all providers in zip 78374 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1356973010 | Holistic Healing Behavioral Healthcare | Clinic/Center | 5257 Ne Martin Luther King Blvd Ste 201, Portland, OR 97211-3283 | 2020-02-10 |
| 1821654112 | Hand of Mercy Health Care, LLC | Clinic/Center | 1087 Forest Ave, Portland, ME 04103-3321 | 2019-05-13 |
| 1598228579 | Christensen Counseling, LLC | Clinic/Center | 6420 Sw Macadam Avenue, Suite 390, Portland, OR 97239-9723 | 2019-04-08 |
| 1700358314 | Nikki Wetherell Counseling | Clinic/Center | 19 South St Ste 6, Portland, ME 04101-3963 | 2018-12-20 |
| 1427545961 | Value Creation Counseling | Clinic/Center | 2028 Se Marion St Apt 11, Portland, OR 97202-7365 | 2018-04-19 |
| 1982140588 | Columbiacare Services | Clinic/Center | 17720 Ne Halsey St # 1, Portland, OR 97230-6734 | 2017-01-06 |
| 1528420692 | Connections First, LLC | Clinic/Center | 2250 Nw Flanders St Ste 201, Portland, OR 97210-5410 | 2016-03-28 |
| 1841618253 | Sellwood Counseling Services | Clinic/Center | 6637 Se Milwaukie Ave, Ste. 204, Portland, OR 97202-5658 | 2014-04-02 |
| 1245378546 | De Paul Treatment Centers, Inc. | Clinic/Center | 1320 Sw Washington St, Portland, OR 97205-2327 | 2007-02-01 |
| Find all providers in PORTLAND | ||||
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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.