Coastal Med Tech Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

1145929 Issued in ME

Legal business name

COASTAL MED TECH INC

Practice address

844 US Route 2 E
Wilton, ME 04294-3864

Phone

(207) 645-3343

Fax

(207) 645-3338

NPI assigned

May 1, 2012

Last updated

Oct 5, 2016By 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

Ms. Shannon E Sevey

Title

Compliance Officer

Phone

(207) 848-8330

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1376801084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 US ROUTE 2 E",
            "city": "WILTON",
            "state": "ME",
            "postal_code": "042943864",
            "telephone_number": "207-645-3343",
            "fax_number": "207-645-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 US ROUTE 2 E",
            "city": "WILTON",
            "state": "ME",
            "postal_code": "042943864",
            "telephone_number": "207-645-3343",
            "fax_number": "207-645-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MED TECH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "SEVEY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "207-848-8330",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "ME",
            "license": "1145929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118860000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Wilton, ME
• Providers in Wilton, ME by specialty
• Oxygen Equipment & Supplies (DME) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.