Organization Active NPI

East Coast Medical

  • Durable Medical Equipment & Medical Supplies
  • Beaufort, NC
National Provider Identifier
1508883455
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EAST COAST MEDICAL
Practice address
112B Straits Rd
Beaufort, NC 28516
Phone
(252) 838-8848
Fax
(252) 838-8849
NPI assigned
Jul 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John Lloyd Hines
Title
Owner Operator
Phone
(252) 838-8848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

112B Straits Rd
Beaufort, NC 28516

Mailing address

PO Box 333
Harkers Island, NC 28531
Phone (252) 838-8848

Other identifiers 2

IdentifierTypeStateIssuer
045KTOtherNCBCBSNC
7703064MedicaidNC

National Provider Directory

National Provider Directory

Locations

112B Straits Rd
Beaufort, NC 28516
Phone (252) 838-8848

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3330/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508883455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 333",
            "city": "HARKERS ISLAND",
            "state": "NC",
            "postal_code": "28531",
            "telephone_number": "252-838-8848",
            "fax_number": "252-838-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112B STRAITS RD",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "28516",
            "telephone_number": "252-838-8848",
            "fax_number": "252-838-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "252-838-8848",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "045KT",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703064",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.