Coastal Health Care, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

002324 Issued in AL

Legal business name

COASTAL HEALTH CARE, INC

Practice address

607 S 3Rd St
Gadsden, AL 35901-5303

Phone

(256) 543-0074

Fax

(256) 543-0108

NPI assigned

Jun 6, 2006

Organization subpart

No

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

Authorized official

Name

Ted Hue Cook

Title

Owner

Phone

(256) 543-0074

Specialties & licenses 1

Addresses

Other names 1

• COASTAL HEALTHCARE Doing business as

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1194764068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 S 3RD ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015303",
            "telephone_number": "256-543-0074",
            "fax_number": "256-543-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S 3RD ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015303",
            "telephone_number": "256-543-0074",
            "fax_number": "256-543-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "HUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-543-0074"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "002324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COASTAL HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clokey Family Eye Care PLLC
• David Clokey III, OD
• Judy Taylor Clontz, MS
• Megan Ford Clough, BEHAVIOR ANALYST
• Timothy Kitt Coan, RPT
• Coastal States Managemen
• Coastal States Management
• Coastal States Management
• Mark Jason Cobb, CRNP - AGACNP-BC
• Kelly Waits Cochran, CRNA

• All providers in Gadsden, AL
• Skilled Nursing Facility in Alabama

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.