COASTAL ER I, LLC


Address: 5521 Saratoga Blvd, Ste 100, Corpus Christi, TX 78413-2843
Phone: 3619800911

COASTAL ER I, LLC (NPI# 1902219348) 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) 1902219348
Entity Type Organization
Organization Name COASTAL ER I, LLC
Other Organization Name PHYSICIANS PREMIER EMERGENCY ROOM
Practice Address 5521 Saratoga Blvd
Ste 100
Corpus Christi
TX 78413-2843
Mailing Address Po Box 6040
Corpus Christi
TX 78466-6040
Practice Telephone 3619800911
Practice Fax Number 3619801459
Mailing Telephone 3619800911
Mailing Fax Number 3619801459
Enumeration Date 2014-06-03
Last Update Date 2016-11-01
Authorized Official Name DR. CHRISTOPHER KWON (LLC BOARD MEMBER)
Authorized Official Telephone 3619800911
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0002X Clinic/Center
Specialization: Emergency Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX TDSHS FSEC LICENSE 160125 01

Other Provider/Organization Names

Other Name Type Code
Physicians Premier Emergency Room Doing Business As Name - Organization

Office Location

Street Address 5521 SARATOGA BLVD
STE 100
City CORPUS CHRISTI
State TX
Zip Code 78413-2843

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NPI Name Taxonomy Address Enumeration
1689159097 Lillian M Alvarez Nurse Practitioner 4638 Gayle Dr, Corpus Christi, TX 78413 2018-10-02
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1891297370 Ercilia Cortez Home Health 5206 Mill Wood Drive, Corpus Christi, TX 78413 2018-03-01
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1720483829 Tlc Corpus Emergency Care LLC Clinic/Center 7330 S. Staples Street, Corpus Christi, TX 78413 2014-10-31
1427324102 Dorothy Valdez Montelongo Counselor 5025 Maylands Dr, Corpus Christi, TX 78413 2012-03-28
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Taxonomy Information

Taxonomy Code 261QE0002X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Emergency Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730612979 Reliant Emergency Room LLC Clinic/Center 6813 Everhart Road, Corpus Christi, TX 78413-2453 2017-04-05
1588111082 Coastal Er V, LLC Clinic/Center 11158 Leopard St Ste 103, Corpus Christi, TX 78410-2612 2016-09-01
1922468156 Coastal Er Iv LLC Clinic/Center 7750 South Padre Island Drive, Corpus Christi, TX 78412 2016-03-01
1164827093 Coastal Er II, LLC Clinic/Center 4141 S Staples St, Suite 106, Corpus Christi, TX 78411-2105 2014-11-04
1720483829 Tlc Corpus Emergency Care LLC Clinic/Center 7330 S. Staples Street, Corpus Christi, TX 78413 2014-10-31
1235544560 Coastal Physicians Er, Pllc Clinic/Center 5521 Saratoga Blvd Ste 100, Corpus Christi, TX 78413-2932 2014-06-25
1003476961 Emcc Padre Island Er LLC Clinic/Center 14433 S Padre Island Dr, Corpus Christi, TX 78418-5938 2019-06-13
1427618370 Emcc Corpus Midtown Er LLC Clinic/Center 4117 S Staples St Ste 140, Corpus Christi, TX 78411-5506 2019-06-13
1902319015 Morgan Avenue Urgent Care LLC Clinic/Center 1025 Morgan Ave, Corpus Christi, TX 78404-2041 2017-11-10
1447780655 Reliant Er Physician Services, Pa Clinic/Center 6813 Everhart Road, Corpus Christi, TX 78413-2453 2017-06-20
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Competitor

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City CORPUS CHRISTI
Zip Code 78413

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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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