Coastal Medical Care

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

COASTAL MEDICAL CARE

Doing business as

Waldo County Dental Care

Practice address

125 Northport Ave Ste 107
Belfast, ME 04915-6002

Phone

(207) 338-3368

Fax

(207) 338-6207

NPI assigned

May 1, 2014

Last updated

May 1, 2014By 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

Linda Drinkwater

Title

Chief Financial Officer

Phone

(207) 338-2500

Specialties & licenses 1

Addresses

Other names 1

• Waldo County Dental Care Doing business as

Tax ID family

Coastal Medical Care2 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 Care

  • Occupational Medicine Clinic/Center
  • Belfast, ME
  • NPI 1265590699
  NPD tax ID

Locations

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1336559228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 NORTHPORT AVE",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156009",
            "telephone_number": "207-338-3368",
            "fax_number": "207-338-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 NORTHPORT AVE STE 107",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156002",
            "telephone_number": "207-338-3368",
            "fax_number": "207-338-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "DRINKWATER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "207-338-2500"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waldo County Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas Kent Clark, M.D.
• Jeremy Cloutier, PTA
• Coastal Maine Behavioral Health Inc.
• Coastal Medical Care
• Coastal Medical Care
• Phyllis Antoinette Coelho, LCSW
• Elizabeth A Compton, LCSW
• Convenientmd - FFS UC LLC
• Jesse Cyr Corbin, LCSW
• Melanie Nicole Craig, D.C.

• Dental Clinic/Center in Belfast, ME
• Providers in Belfast, ME by specialty
• Dental Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.