NPIMap

Organization Active NPI

Coastal Horizons Center, Inc.

  • Community/Behavioral Health Agency
  • Burgaw, NC
National Provider Identifier
1710187463
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-065-011 Issued in NC
Legal business name
COASTAL HORIZONS CENTER, INC.
Practice address
803 S Walker St
Burgaw, NC 28425-5001
Phone
(910) 259-0668
Fax
(910) 259-4526
NPI assigned
Jul 20, 2007
Organization subpart
Yes
Parent organization
COASTAL HORIZONS CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Margaret Weller Stargell
Title
President/Ceo
Phone
(910) 343-0145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-065-011 NC Primary

Addresses

Primary practice location

803 S Walker St
Burgaw, NC 28425-5001

Mailing address

615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone (910) 343-0145

Other identifiers 1

IdentifierTypeStateIssuer
8301322BMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Coastal Car54 organizations share this tax ID, including this one
Part of
Coastal Car

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1710187463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 SHIPYARD BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126431",
            "telephone_number": "910-343-0145",
            "fax_number": "910-341-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 S WALKER ST",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284255001",
            "telephone_number": "910-259-0668",
            "fax_number": "910-259-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HORIZONS CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL HORIZONS CENTER, INC.",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "STARGELL",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "WELLER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "910-343-0145"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-065-011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301322B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burgaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.