Coastal Med Tech Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

11886000 Issued in ME

Legal business name

COASTAL MED TECH INC

Practice address

376 North Maine Street
Suite C
Calais, ME 04619

Phone

(207) 454-0402

Fax

(207) 454-0421

NPI assigned

May 2, 2012

Organization subpart

No

Name

Shannon E Sevey

Title

Compliance Officer

Phone

(207) 848-7152

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 10, 2017.

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1992063440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 NORTH STREETSUITE C",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "04619",
            "telephone_number": "207-454-0402",
            "fax_number": "207-454-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 NORTH MAINE STREET",
            "address_2": "SUITE C",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "04619",
            "telephone_number": "207-454-0402",
            "fax_number": "207-454-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MED TECH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "SEVEY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "207-848-7152"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "ME",
            "license": "11886000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Calais
• Clark Senior Care, Inc
• Clark Senior Care,Inc
• Kelly Clark
• Margaret Clement, MHRT-CSP
• Riley Cooper, D.O.
• Christopher Peter Corcoran, MD
• Jillian M Cowell, MHRT-CSP
• Andrea B Craig Duplisea, LCSW
• Crawford

• All providers in Calais, ME
• Oxygen Equipment & Supplies (DME) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.