Coastline Ambulance Service LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COASTLINE AMBULANCE SERVICE LLC

Doing business as

Coastline Ambulance Service

Practice address

4455 Spid Dr
Ste: 21a
Corpus Christi, TX 78411-5101

Phone

(361) 462-7657

NPI assigned

Apr 13, 2011

Last updated

Apr 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Eduardo Daniel, EMT-P

Title

Member

Phone

(361) 462-7657

Specialties & licenses 2

Addresses

Other names 1

• Coastline Ambulance Service Doing business as

Locations

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1326338112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34837",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782654837",
            "telephone_number": "361-462-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 SPID DR",
            "address_2": "STE: 21A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115101",
            "telephone_number": "361-462-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE AMBULANCE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "361-462-7657",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastline Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coastal Physicians ER, PLLC
• Coastal Plains Hospital, LP
• Coastal Plains Hospital, LP
• Coastal Plains Hospital, LP
• Coastal Wellness, LLC
• Coastline Ambulance Service, LLC (Coastline Ambulance)
• Jacquelyn Andrea Coates, PHYSICIAN ASSISTANT
• Mark Andrew Coates, P.A.
• Maria Izzabella Coats
• Laura Nell Cobb, LCSW

• Land Ambulance in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.