Coastal Care is a Clinic/center in Waycross, Georgia. Coastal Care practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Coastal Care is 1538367149. The last update date is 2007-07-26.
Coastal Care's current location address is 2005 Pioneer St Ste B, Waycross, Georgia. You can contact this provider via phone number 9122858822 and fax number 9122858898. The mailing address for Coastal Care is 2005 Pioneer St Ste B, Waycross, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coastal Care |
|---|---|
| Address | 2005 Pioneer St Ste B, Waycross, Georgia |
| Phone Number | 9122858822 |
| Fax Number | 9122858898 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Theis S Warren |
| Credentials | M. D. |
| Telephone Number | 9122858822 |
NPI Number Detail
| NPI Number | 1538367149 |
|---|---|
| Provider Enumeration Date | 2007-07-05 |
| Last Updated Date | 2007-07-26 |
Provider Mailing Address Detail
| Address | 2005 Pioneer St Ste B |
|---|---|
| City | Waycross |
| State | Georgia (GA) |
| Post Code | 315016205 |
| Phone Number | 9122858822 |
| Fax Number | 9122858898 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 55345 |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Coastal Care by the Centers for Medicare & Medicaid Services?
The Coastal Care has been assigned the NPI (National Provider Identifier) 1538367149 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Coastal Care is physically located?
The Coastal Care is physically situated at the following address: 2005 Pioneer St Ste B, Waycross, GA, 315016205.
What is Coastal Care's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Coastal Care's specialized field of practice is Clinic/center, and the corresponding taxonomy code that categorizes this area of specialization is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1538367149 to Coastal Care?
The Centers for Medicare & Medicaid Services originally issued the 1538367149 to Coastal Care on 2007-07-05.
When was the Coastal Care's information last updated?
The Coastal Care's information was last updated on 2007-07-26.
NPI Number: 1902802911
Address: 5593 Stewart St, Milton, FL