NPIMap

Organization Active NPI

Coastal Bend Wellness Foundation

  • Durable Medical Equipment & Medical Supplies
  • Corpus Christi, TX
National Provider Identifier
1063808566
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COASTAL BEND WELLNESS FOUNDATION
Practice address
5633 S Staples St
Suite 700
Corpus Christi, TX 78411-4646
Phone
(361) 814-2001
Fax
(361) 814-6502
NPI assigned
Apr 10, 2015
Last updated
Apr 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Authorized official

Name
Mr. Bill Jeron Hoelscher
Title
Ceo
Phone
(361) 814-2001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Prosthetic/Orthotic Supplier 335E00000X NU

Addresses

Primary practice location

5633 S Staples St
Suite 700
Corpus Christi, TX 78411-4646

Mailing address

5633 S Staples St
Suite 700
Corpus Christi, TX 78411-4646
Phone (361) 814-2001

Other identifiers 2

IdentifierTypeStateIssuer
383409OtherTXMEDICARE PTAN
2918039MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Coastal Bend Wellness4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFHBDA

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1063808566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5633 S STAPLES ST",
            "address_2": "SUITE 700",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114646",
            "telephone_number": "361-814-2001",
            "fax_number": "361-814-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5633 S STAPLES ST",
            "address_2": "SUITE 700",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114646",
            "telephone_number": "361-814-2001",
            "fax_number": "361-814-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BEND WELLNESS FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "HOELSCHER",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "JERON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "361-814-2001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "383409",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2918039",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.