Organization Active NPI

Coastal Medical MGMT. LLC

  • Durable Medical Equipment & Medical Supplies
  • Mobile, AL
National Provider Identifier
1598856387
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2006-009758 Issued in AL
Legal business name
COASTAL MEDICAL MGMT. LLC
Practice address
7268A Cottage Hill Rd
Mobile, AL 36695-2825
Phone
(251) 634-0676
Fax
(251) 634-0677
NPI assigned
Sep 27, 2006
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
Mrs. Jeanette Robbins
Title
President
Phone
(251) 634-0676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2006-009758 AL Primary

Addresses

Primary practice location

7268A Cottage Hill Rd
Mobile, AL 36695-2825

Mailing address

7268A Cottage Hill Rd
Mobile, AL 36695-2825
Phone (251) 634-0676

Other identifiers 1

IdentifierTypeStateIssuer
51031198OtherALBLUE CROSS PROVIDER #

National Provider Directory

National Provider Directory

Locations

7268A Cottage Hill Rd
Mobile, AL 36695
Phone (251) 634-0676

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598856387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7268A COTTAGE HILL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366952825",
            "telephone_number": "251-634-0676",
            "fax_number": "251-634-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7268A COTTAGE HILL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366952825",
            "telephone_number": "251-634-0676",
            "fax_number": "251-634-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MEDICAL MGMT. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-634-0676",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "2006-009758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "51031198",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

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.