COASTAL CAROLINA PROSTHETICS & ORTHOTICS, INC.


Address: 405 W 15th St, Washington, NC 27889-3524
Phone: 2529401203

COASTAL CAROLINA PROSTHETICS & ORTHOTICS, INC. (NPI# 1659472926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659472926
Entity Type Organization
Organization Name COASTAL CAROLINA PROSTHETICS & ORTHOTICS, INC.
Practice Address 405 W 15th St
Washington
NC 27889-3524
Practice Telephone 2529401203
Practice Fax Number 2529401206
Mailing Telephone 2529401203
Mailing Fax Number 2529401206
Enumeration Date 2006-09-26
Last Update Date 2018-02-05
Authorized Official Name CYNTHIA MONROE (SECRETARY)
Authorized Official Telephone 2523383002
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 335E00000X Prosthetic/Orthotic Supplier Suppliers
Y 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
NC Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NC BCBS 0482P 01
NC 7705351 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1912437930 Coastal Carolina Prosthetics & Orthotics, Inc. Prosthetist 1970 W Arlington Blvd Ste A, Greenville, NC 27834-5783 2017-06-13
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

Other Data Sources

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

Office Location

Street Address 405 W 15TH ST
City WASHINGTON
State NC
Zip Code 27889-3524

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194769877 Occupational Therapy Plus, Inc. Occupational Therapist 405 W 15th St, Washington, NC 27889-3524 2006-06-15
1134689326 Destiny S Davis Mastectomy Fitter 405 W 15th St, Washington, NC 27889-3524 2019-03-22
1316098023 Stephen Gregory Truesdale Orthotist 405 W 15th St, 201, Washington, NC 27889-3524 2007-01-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336786326 Coastal Solutions LLC Counselor 51 Hwy 33 W, Chocowinity, NC 27889 2019-12-09
1952946246 Emily Hodges Hall Pharmacy 627 E 12th Street, Washington, NC 27889 2019-11-11
1649780032 John Bailey Bland II Chiropractor 610 W. 15th. St., Washington, NC 27889 2017-10-11
1255780136 County of Beaufort Ambulance 1420 Highland Drive, Washington, NC 27889 2016-06-10
1790175917 Inner Coastal Orthotics and Prosthetics Orthotist 1102 North Brown St., Washington, NC 27889 2015-01-26
1972847390 Country Living Guest Home #7 Community/Behavioral Health 207 W 11th St, Washington, NC 27889 2012-11-26
1104182005 Country Living Guest Home #8 Community/Behavioral Health 618 Plant St, Washington, NC 27889 2012-04-04
1881986537 Mary Lewis Scarbraugh Social Worker 408 E. 11th St., Washington, NC 27889 2011-05-12
1952615825 Country Living Guest Home #6 Community/Behavioral Health 252 Dan Taylor Rd, Washington, NC 27889 2010-08-03
1376784371 Jennifer Michele Richardson Nurse Practitioner 1207 Highland Drive, Washington, NC 27889 2009-03-20
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Taxonomy Information

Taxonomy Code 332BC3200X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Customized Equipment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215596085 Potomac Supply Company LLC Durable Medical Equipment & Medical Supplies 820 H St Ne Ste 201, Washington, DC 20002-3629 2019-06-06
1679032619 Sunshine Dental Pllc Durable Medical Equipment & Medical Supplies 4301 Connecticut Ave Nw Ste 146, Washington, DC 20008-2386 2019-03-19
1669947388 Hunterdon Specialty Care PC Durable Medical Equipment & Medical Supplies 6 Club House Dr Ste 204, Washington, NJ 07882-2212 2018-10-09
1578982807 Enguity Technology Corp. Durable Medical Equipment & Medical Supplies 2020 Pennsylvania Ave Nw, Suite #868, Washington, DC 20006-1811 2014-04-15
1194972398 American Health and Medical Supply Services LLC Durable Medical Equipment & Medical Supplies 2004 Rhode Island Ave Ne, Suite# 200, Washington, DC 20018-2835 2008-08-19
1477744985 Kreg Therapeutics, Inc. Durable Medical Equipment & Medical Supplies 1300 Washington Road, Washington, IL 61571-2368 2007-08-08
1871632349 Alliance Convalescent and Surgical Supply Inc Durable Medical Equipment & Medical Supplies 1217 Brentwood Rd Ne, Washington, DC 20018-1019 2007-02-05
1699834416 Brown's Enterprises, Inc. Durable Medical Equipment & Medical Supplies 1571 Heritage Hills Dr, Washington, MO 63090-4614 2006-12-07
1841648292 Dental Professional Associates LLC Durable Medical Equipment & Medical Supplies 1160 Varnum St Ne, #006, Washington, DC 20017-2107 2016-05-26
1841695608 Nathalie Smith Durable Medical Equipment & Medical Supplies 3617 12th St Ne, Washington, DC 20017-2547 2014-10-22
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Competitor

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City WASHINGTON
Zip Code 27889

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Dataset Information

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.

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