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NPI Code Detail

MEDICARE: COASTAL EMS, INC.

MEDICARE: COASTAL EMS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13416L0300XLand Ambulance101270TX

General Provider Information

NPI Number : 1114992716
Entity Type Code : Organization
Provider Name (Legal Business Name) : COASTAL EMS, INC.
Provider Business Mailing Address
First Line : 13300 SCHROEDER RD
Second Line :
City : HOUSTON
State : TX
Zip : 77070-4232
Country : US
Telephone Number : 281-894-8033
Fax Number : 281-894-7360
Provider Business Practice Location Address
First Line : 13300 SCHROEDER RD
Second Line :
City : HOUSTON
State : TX
Zip : 77070-4232
Country : US
Telephone Number : 281-894-8033
Fax Number : 281-894-7360
Authorized Official
Title or Position : CEO
Name : MR. KENNETH JONES
Credential :
Telephone Number : 281-894-8033
Provider Enumeration Date : 02/17/2006
Last Update Date : 08/22/2020

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