Coastal Med-Tech Corp.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

COASTAL MED-TECH CORP.

Doing business as

Quipt Home Medical Ellsworth

Practice address

44 Downeast Hwy
Ellsworth, ME 04605-1735

Phone

(207) 677-2508

Fax

(207) 667-3099

NPI assigned

May 3, 2006

Last updated

Aug 1, 2024By 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

Greg Crawford

Title

President

Phone

(859) 441-8876

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Quipt Home Medical Ellsworth Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Coastal Med-Tech Corp.

  dba Quipt Home Medical Ellsworth

  • Durable Medical Equipment & Medical Supplies
  • Lewiston, ME
  • NPI 1558839241

  4789705427

  Same PAC ID
• Coastal Med-Tech Corp.

  dba Quipt Home Medical Ellsworth

  • Oxygen Equipment & Supplies (DME)
  • Waterville, ME
  • NPI 1639647324

  4789705427

  Same PAC ID
• Coastal Med-Tech Corp.

  dba Quipt Home Medical Ellsworth

  • Durable Medical Equipment & Medical Supplies
  • Bangor, ME
  • NPI 1912475609

  4789705427

  Same PAC ID

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

Medicare medical equipment & supply locations

Tax ID family

Coastal Med-Tech Corp4 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.

• Coastal Med-Tech Corp.

  dba Quipt Home Medical Ellsworth

  • Durable Medical Equipment & Medical Supplies
  • Lewiston, ME
  • NPI 1558839241
  NPD tax ID
• Coastal Med-Tech Corp.

  dba Quipt Home Medical Ellsworth

  • Oxygen Equipment & Supplies (DME)
  • Waterville, ME
  • NPI 1639647324
  NPD tax ID
• Coastal Med-Tech Corp.

  dba Quipt Home Medical Ellsworth

  • Durable Medical Equipment & Medical Supplies
  • Bangor, ME
  • NPI 1912475609
  NPD tax ID

Locations

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1881652162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 TOWN DR",
            "city": "HIGHLAND HEIGHTS",
            "state": "KY",
            "postal_code": "410769114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 DOWNEAST HWY",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051735",
            "telephone_number": "207-677-2508",
            "fax_number": "207-667-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MED-TECH CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-441-8876"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131150000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quipt Home Medical Ellsworth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coastal Eye Care, P.a.
• Coastal Eye Surgery Center, LLC
• Coastal Health Center
• Coastal Maine Chiropractic Center, P.C. (Coastal Maine Chiropractic Center)
• Coastal Med Tech Inc
• David Coffman, DO
• Rachael Jean Cohen, CPM
• Emily Colligan, CADC
• Mary M Collins, M.D.
• Barbara Conry

• Customized Equipment (DME) in Ellsworth, ME
• Providers in Ellsworth, ME by specialty
• Customized Equipment (DME) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.