Coastal ER IX, LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

COASTAL ER IX, LLC

Doing business as

Physicians PremiER

Practice address

580 Cibolo Valley Dr Ste 137
Cibolo, TX 78108-3834

Phone

(210) 251-3545

Fax

(832) 653-2978

NPI assigned

Sep 30, 2019

Last updated

Oct 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bobby Rankin

Title

System Business Manager

Phone

(361) 851-6626

Specialties & licenses 1

Addresses

Other names 1

• Physicians PremiER Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124669262. Details of each certification follow.

• CCN 670233 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 670233

Legal name

PHYSICIANS PREMIER EMERGENCY ROOM

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

May 1, 2020

Last certification

May 1, 2020

Beds

1

Ownership / control type

Private (not for profit)

Facility address

580 Cibolo Valley Dr, Suite 137
Cibolo, TX 78108

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lonnie R Schwirtlich, M.D.

  • General Practice Physician
  • Corpus Christi, TX
  • NPI 1679561880
  NPD (past)

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1124669262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 S STAPLES ST STE 101",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112115",
            "telephone_number": "361-851-6626",
            "fax_number": "832-653-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 CIBOLO VALLEY DR STE 137",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083834",
            "telephone_number": "210-251-3545",
            "fax_number": "832-653-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ER IX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "RANKIN",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "SYSTEM BUSINESS MANAGER",
        "authorized_official_telephone_number": "361-851-6626"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians PremiER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physicians PremiER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cibolo Emergency Physicians, PLLC
• Cibolo Eye Care PLLC (Cibolo Eye Care)
• Cibolo Modern Dentistry, PC
• Cibolo Pediatric Dentistry, PLLC
• Cibolo-South Texas Center for Pediatric Care
• Yolanda Lynn Cockfield, SPEECH THERAPIST
• Julia Marie Conn, BCBA, LBA
• Melanie Corley
• Counseling Inspirations PLLC
• Roy Cox

• Emergency Care Clinic/Center in Cibolo, TX
• Providers in Cibolo, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.