Coastal NH EMS LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COASTAL NH EMS LLC

Practice address

195 Robinson Rd
Hudson, NH 03051-3043

Phone

(508) 225-9768

NPI assigned

Jan 18, 2024

Organization subpart

No

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

Authorized official

Name

Alexandre Theoharidis

Title

Ceo

Phone

(508) 364-6667

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Locations

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1407617376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 YARMOUTH RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026012043",
            "telephone_number": "508-364-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 ROBINSON RD",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "030513043",
            "telephone_number": "508-225-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL NH EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "THEOHARIDIS",
        "authorized_official_first_name": "ALEXANDRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-364-6667"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Hudson, NH
• Providers in Hudson, NH by specialty
• Land Ambulance in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.