Coastal Med Tech Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

11886000 Issued in ME

Legal business name

COASTAL MED TECH INC

Practice address

364 State St
Bangor, ME 04401-6604

Phone

(207) 848-7730

Fax

(207) 848-7767

NPI assigned

Apr 23, 2012

Last updated

Jan 10, 2017By 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

Shannon E Sevey

Title

Compliance Officer

Phone

(207) 848-7152

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1679830095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 STATE STREET",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-848-7730",
            "fax_number": "207-848-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016604",
            "telephone_number": "207-848-7730",
            "fax_number": "207-848-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MED TECH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2017-01-10",
        "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": "207-848-7152"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "ME",
            "license": "11886000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Close to Home Birth Center
• Robert Alan Clough, MD
• Scott Clough, MD
• Mercedes Clout, LCPC-C
• Frances Harlow Clukey, PHD RATH LCPC
• Coastal Med-Tech Corp. (Quipt Home Medical Ellsworth)
• Jeremy J Cochran, LCPC-C
• Paula Denise Codrington, LCSW
• Robert F Cody, M.D.
• Kasey Coffin, LADC,CCS

• Oxygen Equipment & Supplies (DME) in Bangor, ME
• Providers in Bangor, 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 Jan 10, 2017; 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.