Coastline Medicals LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COASTLINE MEDICALS LLC

Practice address

530B Harkle Rd Ste 100
Santa Fe, NM 87505-4739

Phone

(207) 712-6100

Fax

(800) 380-5604

NPI assigned

Feb 14, 2019

Organization subpart

No

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

Authorized official

Name

Jonathan E Buck

Title

Owner

Phone

(207) 712-6100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1316403397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 124",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044440124",
            "telephone_number": "207-712-6100",
            "fax_number": "800-380-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530B HARKLE RD STE 100",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054739",
            "telephone_number": "207-712-6100",
            "fax_number": "800-380-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE MEDICALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-712-6100"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adeline Cleveland
• Kelly Marie Clifford
• Angela Rae Cline, PA
• Matthew Jared Clokey Jr., BMS
• Brent Lane Clovis, LMSW
• Daniel Cobb, DOM
• James A Cobb, D.C., D.O.M.
• Rahma Coburn, PMHNP
• Ruqayah Coburn
• Analicia Coca-Dominguez, LCSW

• Durable Medical Equipment & Medical Supplies in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Durable Medical Equipment & Medical Supplies in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.