COASTAL COMMUNITY HEALTH SERVICES INC (NPI# 1609298751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609298751 |
Entity Type | Organization |
Organization Name | COASTAL COMMUNITY HEALTH SERVICES INC |
Practice Address |
106 Shoppers Way Suite 1 Brunswick GA 31525-0530 |
Practice Telephone | 9122758028 |
Practice Fax Number | 9122892085 |
Mailing Telephone | 9122758028 |
Mailing Fax Number | 9122892085 |
Enumeration Date | 2014-01-08 |
Last Update Date | 2015-12-02 |
Authorized Official Name | BARBARA MEYERS (DIRECTOR) |
Authorized Official Telephone | 9122758028 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Street Address |
106 SHOPPERS WAY SUITE 1 |
City | BRUNSWICK |
State | GA |
Zip Code | 31525-0530 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861460313 | Jay William Floyd | Family Medicine | 106 Shoppers Way, Suite 1, Brunswick, GA 31525-0530 | 2006-03-10 |
1790319028 | Jerry Mccomis | Nurse Practitioner | 106 Shoppers Way, Brunswick, GA 31525-0530 | 2020-02-25 |
1225364599 | Laura Hayley Veal | Nurse Practitioner | 106 Shoppers Way, Suite 1, Brunswick, GA 31525-0530 | 2009-10-21 |
1982737748 | Coastal Physical Therapy Inc | Physical Therapist | 106 Shoppers Way, Ste G, Brunswick, GA 31525 | 2007-03-13 |
1760526362 | Robert N Chapman Sr. | Optometrist | 106 Shoppers Way, Suite F, Brunswick, GA 31525 | 2007-02-16 |
1205905676 | The Sleep Professionals, Inc. | Specialist/Technologist, Other | 106 Shoppers Way, Suite G-2, Brunswick, GA 31525 | 2006-11-07 |
1013092477 | Clyde Wesley Herndon | Physical Therapist | 106 Shoppers Way, Ste G, Brunswick, GA 31525 | 2006-10-26 |
1760499735 | Janice W Willis | Social Worker | 106 Shoppers Way, Ste 115, Brunswick, GA 31525-0522 | 2006-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063905990 | Jonathon Wesley Capps | Physician Assistant | 1111 Glynco Pkwy Bldg 1, Ste 10, Brunswick, GA 31525 | 2018-06-14 |
1366993628 | Hands Down Muscle Restoration, Inc | Homeopath | 1212 Chapel Crossing Road, Brunswick, GA 31525 | 2016-10-20 |
1619424173 | Jebediah S Christy Dds - Brunswick Pllc | Dentist | 11455 Canal Crossing, Brunswick, GA 31525 | 2016-09-01 |
1831545508 | Heller Family Medicine, LLC | General Practice | 208 Scranton Connector Ste 120, Brunswick, GA 31525 | 2016-05-11 |
1437525391 | Natisha Danielle Hill | Occupational Therapy Assistant | 138 Wingefield Commons Drive, Brunswick, GA 31525 | 2015-08-14 |
1811269632 | Solar Family Practice | Family Medicine | 122 Scranton Connector, Suite 112, Brunswick, GA 31525 | 2012-02-09 |
1700187895 | Chetan Patel | Pharmacist | 12 Woodfall Ct, Brunswick, GA 31525 | 2010-11-05 |
1194914275 | Dialysis of Golden Isles, LLC | Clinic/Center | 475 Gateway Center Blvd, Brunswick, GA 31525 | 2007-10-15 |
1902939325 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Frazier Street, Brunswick, GA 31525 | 2007-03-14 |
1609909498 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 115 Frazier Road, Brunswick, GA 31525 | 2007-03-13 |
Find all providers in zip 31525 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1366066243 | Health Education Assessment and Leadership Inc | Clinic/Center | 225 Griffin St Nw, Atlanta, GA 30314-3917 | 2020-06-05 |
1851924377 | Valley Healthcare System | Clinic/Center | 1458 Benning Dr, Columbus, GA 31903-2200 | 2020-02-13 |
1952941528 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 400 E Broad St, Savannah, GA 31401-5104 | 2020-01-13 |
1023658523 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1407 Cobb Parkway Nw, Marietta, GA 30060-6546 | 2020-01-13 |
1467092221 | Careconnect Health, Inc. | Clinic/Center | 130 N Lee St, Forsyth, GA 31029-2122 | 2020-01-09 |
1417597238 | The Family Health Centers of Georgia, Inc | Clinic/Center | 19 John Maddox Dr Nw Ste B, Rome, GA 30165-1477 | 2020-01-09 |
1649810714 | Careconnect Health, Inc. | Clinic/Center | 254 Wright Avenue, Roberta, GA 31078 | 2020-01-07 |
1437798725 | Careconnect Health, Inc. | Clinic/Center | 414 S Frontage Rd Lot 53, Forsyth, GA 31029-3025 | 2020-01-03 |
1285277608 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1976 Flat Shoals Rd Se Ste B, Atlanta, GA 30316-2857 | 2019-10-18 |
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.