Coastal Community Action Program

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

COASTAL COMMUNITY ACTION PROGRAM

Practice address

117 E 3Rd St
Aberdeen, WA 98520-4002

Phone

(360) 533-5100

Fax

(360) 532-4623

NPI assigned

Nov 24, 2010

Organization subpart

No

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

Authorized official

Name

Craig L Dublanko

Title

Executive Director

Phone

(360) 533-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1356643316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E 3RD ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985204002",
            "telephone_number": "360-533-5100",
            "fax_number": "360-532-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E 3RD ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985204002",
            "telephone_number": "360-533-5100",
            "fax_number": "360-532-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL COMMUNITY ACTION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "DUBLANKO",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-533-5100"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7408222",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Aberdeen
• Kamri Clark
• Katie Elise Clarkson, MSN, ARNP, BC
• Mary Joy Clayton, ARNP
• Holly Celeste Clements, ARNP
• Coastal Hand & Physical Therapy, PLLC
• Coastal Internal Medicine, PLLC
• Coastal Internal Medicine, PLLC
• Coastal Physician Anesthesia, PS
• Coastal Specialty Imaging

• Case Manager/Care Coordinator in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Case Manager/Care Coordinator in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.