Coastal Med-Tech Corp.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Bangor, ME
NPI 1912475609 · NPPES record last updated Jul 26, 2024
Key facts
- NPI
- 1912475609
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- COASTAL MED-TECH CORP.
- Practice address
- 45 Dowd Rd
Bangor, ME 04401-6733 - Phone
- (207) 907-4506
- NPI assigned
- Nov 12, 2018
- Organization subpart
- No
Authorized official
- Name
- Greg Crawford
- Title
- Ceo
- Phone
- (859) 441-8876
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 3
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Quipt Home Medical |
Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applica… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190114000489 | ME | DME Supplier - Medical Supply Company |
4789705427 | Practice locations: Bangor, ME |
National Provider Directory
- Tax ID family
- Coastal Med-Tech Corp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
45 Dowd Rd
Bangor, ME 04401-6733
Mailing address
1019 Town Dr
Highland Heights, KY 41076-9114
Phone (859) 441-8876
Other names
- Quipt Home Medical Ellsworth
Other providers in Bangor, ME
- Robert Alan Clough
- Scott Clough
- Mercedes Clout
- Frances Harlow Clukey
- Coastal Med Tech Inc
- Jeremy J Cochran
- Paula Denise Codrington
- Robert F Cody
- Kasey Coffin
- Melinda Coffin
All providers in Bangor, ME · Durable Medical Equipment & Medical Supplies in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.