Coastal Medical Transportation Services LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COASTAL MEDICAL TRANSPORTATION SERVICES LLC

Doing business as

Coastal Medical Transportation Services LLC - Vacinations

Practice address

259 Willow St
Yarmouth Port, MA 02675-1762

Phone

(617) 682-1854

NPI assigned

Feb 9, 2021

Organization subpart

No

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

Authorized official

Name

Alexandre Theoharidis

Title

President

Phone

(508) 694-6687

Specialties & licenses 1

Addresses

Other names 1

• Coastal Medical Transportation Services LLC - Vacinations Doing business as

Tax ID family

Coastal Medical Transportation Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coastal Medical Transportation Services LLC

  • Land Ambulance
  • Hyannis, MA
  • NPI 1366882987
  NPD tax ID

Locations

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1285226407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 WILLOW ST",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026751762",
            "telephone_number": "617-682-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 WILLOW ST",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026751762",
            "telephone_number": "617-682-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MEDICAL TRANSPORTATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "THEOHARIDIS",
        "authorized_official_first_name": "ALEXANDRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-694-6687"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Medical Transportation Services LLC - Vacinations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Marie Carlozzi
• Kendall Ceban, LMHC
• Gail Chen, CNS
• Emma Jean Cibere
• Kathleen Marie Clarke, LICSW
• Collaborative Minds Counseling LLC
• Ashley Taylor Conefrey, LMHC
• Elaine Ruth Conners, LICSW
• Barbara M Crellin, LMHC
• Samantha Cronin, LMHC

• Public Health or Welfare Agency in Yarmouth Port, MA
• Providers in Yarmouth Port, MA by specialty
• Public Health or Welfare Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.