NPIMap

Organization Active NPI

Coastal Plains Community MHMR Center

Doing business as Coastal Plains Community Center

  • Case Management Agency
  • Portland, TX
National Provider Identifier
1851443113
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COASTAL PLAINS COMMUNITY MHMR CENTER
Doing business as
Coastal Plains Community Center
Practice address
200 Marriott Dr
Portland, TX 78374-2213
Phone
(361) 777-3991
Fax
(361) 777-0610
NPI assigned
Jan 17, 2007
Last updated
Oct 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Mark Durand
Title
Executive Director
Phone
(361) 777-3991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

200 Marriott Dr
Portland, TX 78374-2213

Mailing address

200 Marriott Dr
Portland, TX 78374-2213
Phone (361) 777-3991

Other identifiers 1

IdentifierTypeStateIssuer
126843501MedicaidTX

Other names 1

  • Coastal Plains Community Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Coastal Plains Community Center11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1851443113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MARRIOTT DR",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783742213",
            "telephone_number": "361-777-3991",
            "fax_number": "361-777-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MARRIOTT DR",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783742213",
            "telephone_number": "361-777-3991",
            "fax_number": "361-777-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PLAINS COMMUNITY MHMR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "DURAND",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "361-777-3991"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126843501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Plains Community Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.