Coastal Health Center,P.C.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

080046352N1FNP-PP Issued in OR

Legal business name

COASTAL HEALTH CENTER,P.C.

Practice address

216 Cedar Ave
Tillamook, OR 97141-2000

Phone

(503) 842-3661

Fax

(503) 842-5331

NPI assigned

Jan 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Daniel Richard Arthur, F.N.P.

Title

Owner

Phone

(503) 842-3661

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1023165891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 CEDAR AVE",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971412000",
            "telephone_number": "503-842-3661",
            "fax_number": "503-842-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 CEDAR AVE",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971412000",
            "telephone_number": "503-842-3661",
            "fax_number": "503-842-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HEALTH CENTER,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "ARTHUR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-842-3661",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "F.N.P."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "080046352N1FNP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "02384001",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114590",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "L103001",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcelo RM Carocci
• Kevin Stuart Cheiman, RPH
• Daeh M Christensen-Carney
• Christopher R Opdahl DDS PC
• Coastal Eyecare Tillamook LLC
• Anna Cobarrubia
• Rebecca Ann Conners, MA
• Ann Marie Cook
• County of Tillamook (Tillamook County Community Health Centers)
• County of Tillamook (Tillamook County Health Department - Dental Clinic)

• Family Nurse Practitioner in Tillamook, OR
• Providers in Tillamook, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.