Coastal Med Tech, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

1142509 Issued in ME

Legal business name

COASTAL MED TECH, INC.

Practice address

730 Center St
Auburn, ME 04210-6316

Phone

(207) 782-0660

Fax

(207) 782-0441

NPI assigned

Mar 1, 2007

Organization subpart

Yes

Parent organization

COASTAL MED TECHAs reported in NPPES

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

Authorized official

Name

Ms. Shannon Sevey

Title

Compliance Officer

Phone

(207) 848-7152

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Coastal Med Tech

Locations

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1114055407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 CENTER STREET, UNIT 10-C",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "04210",
            "telephone_number": "207-782-0660",
            "fax_number": "207-782-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 CENTER ST",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106316",
            "telephone_number": "207-782-0660",
            "fax_number": "207-782-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MED TECH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL MED TECH",
        "enumeration_date": "2007-03-01",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "SEVEY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "207-848-7152",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "ME",
            "license": "1142509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118860000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nicole Cochran, OTR/L
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• Oxygen Equipment & Supplies (DME) in Auburn, ME
• Providers in Auburn, ME by specialty
• Oxygen Equipment & Supplies (DME) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.