Coastal Health Systems of Brevard, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

COASTAL HEALTH SYSTEMS OF BREVARD, INC.

Doing business as

Coastal Ambulance Service

Practice address

486 Gus Hipp Blvd
Rockledge, FL 32955-4800

Phone

(321) 633-7050

Fax

(321) 632-3005

NPI assigned

Feb 16, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Andrea Brooke Taylor

Title

Ceo

Phone

(321) 633-7050

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Coastal Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1235103029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 GUS HIPP BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554800",
            "telephone_number": "321-633-7050",
            "fax_number": "321-632-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 GUS HIPP BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554800",
            "telephone_number": "321-633-7050",
            "fax_number": "321-632-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HEALTH SYSTEMS OF BREVARD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-16",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-633-7050",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": "002591",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086957100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULANCE",
            "identifier": "A0608",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Susan Marie Coffey, OTR
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• Ambulance in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.