COAST HEALTHCARE SUPPLY (NPI# 1477637205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477637205 |
| Entity Type | Organization |
| Organization Name | COAST HEALTHCARE SUPPLY |
| Other Organization Name | KAREN MARKARD JENKINS |
| Practice Address |
190 E Elm St Fort Bragg CA 95437-3026 |
| Mailing Address |
190 E Elm St P.o. Box 1330 Fort Bragg CA 95437-3026 |
| Practice Telephone | 7079641112 |
| Practice Fax Number | 7079641222 |
| Mailing Telephone | 7079641112 |
| Mailing Fax Number | 7079641222 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DIANE DAHL (MANAGER) |
| Authorized Official Telephone | 7079641112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
102629 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DME1708F | 05 |
| Other Name | Type Code |
|---|---|
| Karen Markard Jenkins | Doing Business As Name - Organization |
| Street Address |
190 E ELM ST |
| City | FORT BRAGG |
| State | CA |
| Zip Code | 95437-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902357437 | Mendocino Coast Hospitality Center | Community/Behavioral Health | 137 E. Oak Street, Fort Bragg, CA 95437 | 2016-10-19 |
| 1144604570 | Erin Paul | Community Health Worker | 474 South Franklin Street, Fort Bragg, CA 95437 | 2015-07-15 |
| 1508125790 | Joel Macgregor Green | Marriage & Family Therapist | 331- G Redwood Ave., Fort Bragg, CA 95437 | 2012-05-09 |
| 1013244102 | Jenna Glasscock | Counselor | 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 | 2009-11-10 |
| 1770819641 | Patrick Lenaghan | Emergency Medicine | 707 River Dr, Fort Bragg, CA 95437 | 2009-10-27 |
| 1043455827 | M. Lee Baker | Dentist | 890 River Dr, Fort Bragg, CA 95437 | 2008-12-09 |
| 1528250495 | Christine Anne Samas | Social Worker | 656a Harrison St., Fort Bragg, CA 95437 | 2007-08-15 |
| 1083822811 | Katharine L. White | Marriage & Family Therapist | 137 E Oak Street, Fort Bragg, CA 95437 | 2007-05-17 |
| 1053525873 | Marty Christine Johnson | Marriage & Family Therapist | 331 E. Redwood Ave, Fort Bragg, CA 95437 | 2007-05-10 |
| 1528114741 | Kate Teresa Donohue | Psychologist | 19201 Noyo Acres Dr, Fort Bragg, CA 95437 | 2007-01-29 |
| Find all providers in zip 95437 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073523296 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 579 S Franklin St, Fort Bragg, CA 95437-5101 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457967259 | Tarlani Corp. | Durable Medical Equipment & Medical Supplies | 315 Arden Ave Ste 4, Glendale, CA 91203-1165 | 2020-09-17 |
| 1649803545 | Martha Ortega | Durable Medical Equipment & Medical Supplies | 3888 Sage Hill Pl, Santa Rosa, CA 95404-7696 | 2020-02-19 |
| 1568094001 | Bans Healthcare Group, Inc. | Durable Medical Equipment & Medical Supplies | 31133 Via Colinas Ste 103, Westlake Village, CA 91362-4519 | 2020-02-11 |
| 1992343867 | Oxygen Services Southwest LLC | Durable Medical Equipment & Medical Supplies | 13396 Contour Dr, Sherman Oaks, CA 91423-4802 | 2019-12-11 |
| 1538702568 | Can-al Medical Supplies | Durable Medical Equipment & Medical Supplies | 6650 Fair Oaks Blvd, Carmichael, CA 95608-4026 | 2019-10-22 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326607011 | Herocare LLC | Durable Medical Equipment & Medical Supplies | 12598 Central Ave Ste 109, Chino, CA 91710-3500 | 2019-06-06 |
| 1205300050 | Expedite LLC | Durable Medical Equipment & Medical Supplies | 8910 University Center Ln Ste 400, San Diego, CA 92122-1025 | 2019-01-15 |
| 1073093746 | Sgr Medical Solutions L.L.C. | Durable Medical Equipment & Medical Supplies | 2717 Cabernet Way, Rancho Cordova, CA 95670-4811 | 2018-08-21 |
| 1134607120 | Pulmonic Health, LLC | Durable Medical Equipment & Medical Supplies | 402 W Bedford Ave Ste 103, Fresno, CA 93711-6884 | 2018-08-01 |
| Find all providers with the same taxonomy | ||||
| City | FORT BRAGG |
| Zip Code | 95437 |
Please comment or provide details below to improve the information on COAST HEALTHCARE SUPPLY.
| 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.