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General NPI Number Information
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NPI Number | 1225827629
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Entity Type | Organization
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Legal Business Name | THIRD COAST HEALTH, LLC
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Dates
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Enumeration Date | 05/02/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 333 BRIDGE ST NW STE 230
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City | GRAND RAPIDS
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State | MI
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Zip | 49504-5320
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Country | US
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Telephone | 844-213-6541
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Fax | 616-600-0249
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Provider Business Mailing Address
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Address Line | PO BOX 1110
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City | GRAND RAPIDS
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State | MI
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Zip | 49501-1110
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Country | US
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Telephone | 844-213-6541
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Fax | 616-600-0249
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Authorized Official
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Title or Position | DIRECTOR
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Name | WILLIAM MELVIN OAKLEY III
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Credential |
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Telephone | 616-710-1443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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