One Coast Medical, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ONE COAST MEDICAL, INC

Practice address

403B Highway 43 S
Saraland, AL 36571-2812

Phone

(251) 675-3633

Fax

(251) 675-3303

NPI assigned

Jun 22, 2009

Organization subpart

No

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

Authorized official

Name

Mr. William Monte Elliott, MBA

Title

Ceo

Phone

(251) 675-3633

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1336377969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403B HIGHWAY 43 S",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365712812",
            "telephone_number": "251-675-3633",
            "fax_number": "251-675-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403B HIGHWAY 43 S",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365712812",
            "telephone_number": "251-675-3633",
            "fax_number": "251-675-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE COAST MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MONTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "251-675-3633",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Mobile Dental Medicaid, LLC
• Northern Mobile Medical Diagnostics
• Northside,P.C.
• Christopher Alan O'Laire, D.C.
• Olaire Health Solutions, Inc
• Optometry Exchange of Alabama, Inc
• Stephanie Beahn Overstreet, RN
• Mary Owen
• Bradford Armande Pettaway
• Emilija F Pflaum, PA

• Durable Medical Equipment & Medical Supplies in Saraland, AL
• Providers in Saraland, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.