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1588086136 NPI number — COASTAL MATERNITY CARE, INC.

NPI Number: 1588086136
Health Care Provider/Practitioner: COASTAL MATERNITY CARE, INC.

Information about “1588086136” NPI (COASTAL MATERNITY CARE, INC.) exists in 1588086136 in HTML format HTML  |  1588086136 in plain Text format TXT  |  1588086136 in PDF (Portable Document Format) PDF  |  1588086136 in an XML format XML  formats.

NPI Number : 1588086136 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588086136",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "COASTAL MATERNITY CARE, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 743",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PACIFICA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94044-0743",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "415-649-6262",
    "MailingAddressFaxNumber": "415-649-6262",
    "FirstLinePracticeLocationAddress": "450 DONDEE ST STE 5",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PACIFICA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94044-3258",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "415-649-6262",
    "PracticeLocationAddressFaxNumber": "415-649-6262",
    "EnumerationDate": "01/16/2014",
    "LastUpdateDate": "01/16/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ECONOMIDES",
    "AuthorizedOfficialFirstName": "SHARON",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER, MIDWIFE, LACTATION CONSULTAN",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LM, CPM, IBCLC",
    "AuthorizedOfficialTelephoneNumber": "415-649-6262",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "174N00000X",
          "TaxonomyName": "Lactation Consultant (Non-RN)",
          "LicenseNumber": "L10992",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "176B00000X",
          "TaxonomyName": "Midwife",
          "LicenseNumber": "225",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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