Organization Active NPI

Coastal Care EMS

  • Land Ambulance
  • Panama City, FL
National Provider Identifier
1144090960
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
COASTAL CARE EMS
Practice address
2015 Wilkinson St
Panama City, FL 32408-4905
Phone
(866) 244-2760
NPI assigned
Jan 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Gabriel Moschella
Title
Coo
Phone
(866) 244-2760

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

2015 Wilkinson St
Panama City, FL 32408-4905

Mailing address

2015 Wilkinson St
Panama City Beach, FL 32408-4905
Phone (866) 244-2760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240209002911 FL Part B Supplier - Ambulance Service Supplier 0547603169 Practice locations: Panama City, FL

National Provider Directory

National Provider Directory

Locations

619 N Cove Blvd
Panama City, FL 32401
Phone (850) 785-9559

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18525/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1144090960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 WILKINSON ST",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324084905",
            "telephone_number": "866-244-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 WILKINSON ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324084905",
            "telephone_number": "866-244-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CARE EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "MOSCHELLA",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "866-244-2760"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.