Organization Active NPI

Coast to Coast Medical, LLC

  • Family Medicine Physician
  • West Memphis, AR
National Provider Identifier
1740214402
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COAST TO COAST MEDICAL, LLC
Practice address
710 N Missouri St
West Memphis, AR 72301-3150
Phone
(870) 732-0332
Fax
(870) 732-3078
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Authorized official

Name
Lance Michael Harrell, FNPNPI 1447407671
Title
Owner Provider
Phone
(870) 732-0332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

710 N Missouri St
West Memphis, AR 72301-3150

Mailing address

710 N Missouri St
West Memphis, AR 72301-3150
Phone (870) 732-0332

Other identifiers 2

IdentifierTypeStateIssuer
5C471OtherARAR BCBS GROUP #
205862762MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080722000574 AR Part B Supplier - Clinic/Group Practice 3274606314 Receives reassigned benefits from 4 practitioners
Practice locations: West Memphis, AR
O20260420001810 TX Part B Supplier - Independent Clinical Laboratory 3274606314 Practice locations: Spring, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D0958040Coast to Coast Medical710 North Missouri Street, West Memphis, AR 72301Certificate of waiverMar 8, 2027

National Provider Directory

National Provider Directory

Locations

710 N Missouri St
West Memphis, AR 72301
Phone (870) 394-9149

2201 Horizan Rd
Ste 4
West Memphis, AR 72301
Phone (870) 732-0332

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1740214402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N MISSOURI ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013150",
            "telephone_number": "870-732-0332",
            "fax_number": "870-732-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N MISSOURI ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013150",
            "telephone_number": "870-732-0332",
            "fax_number": "870-732-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST TO COAST MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "870-732-0332",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS GROUP #",
            "identifier": "5C471",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205862762",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.