NPIMap

Organization Active NPI

Coastal Hearing Centers, Inc

  • Hearing and Speech Clinic/Center
  • Lumberton, NC
National Provider Identifier
1659621985
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
1102
Legal business name
COASTAL HEARING CENTERS, INC
Practice address
584 Farringdom St
Lumberton, NC 28358-2615
Phone
(910) 671-5014
NPI assigned
Sep 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Authorized official

Name
Dr. Susan Evans Gore, AU.D.
Title
Owner
Phone
(910) 671-5014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 1102 Primary

Addresses

Primary practice location

584 Farringdom St
Lumberton, NC 28358-2615

Mailing address

P.O. Box 4868
Calabash, NC 28467
Phone (910) 671-5014

Other identifiers 1

IdentifierTypeStateIssuer
3404235MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Coastal Hearing Centers4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1659621985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4868",
            "city": "CALABASH",
            "state": "NC",
            "postal_code": "28467",
            "telephone_number": "910-671-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 FARRINGDOM ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582615",
            "telephone_number": "910-671-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HEARING CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "EVANS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-671-5014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": "1102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404235",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.