C4C Coastal Bend Inc,

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

C4C COASTAL BEND INC,

Practice address

302 Avenue D
Victoria, TX 77901-8529

Phone

(361) 649-1858

NPI assigned

Oct 29, 2013

Organization subpart

No

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

Authorized official

Name

Jill Ann Powell

Title

Ceo

Phone

(916) 870-9590

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1356779409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 GREENBACK LN # 140",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "95621",
            "telephone_number": "916-870-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 AVENUE D",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779018529",
            "telephone_number": "361-649-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C4C COASTAL BEND INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-870-9590"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel E. Bustos, M.D.
• Angel-Marie Noel Butler
• Aricia M Byrd, MD
• Teri A Byrd, PTA
• C M a Services
• Austin Caballero, DO
• Caia D. Homerstad OD PLLC
• Maureen Leigh Caldwell, DPM
• Lashandra Callis
• Cheryl Lynn Campbell, RN FNP

• Community/Behavioral Health Agency in Victoria, TX
• Providers in Victoria, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.