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General NPI Number Information
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NPI Number | 1952637936
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Entity Type | Organization
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Legal Business Name | COASTAL MEDICAL SUPPLY, INC.
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Dates
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Enumeration Date | 10/26/2009
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 560 N NIMITZ HWY STE 115B
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City | HONOLULU
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State | HI
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Zip | 96817-5380
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Country | US
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Telephone | 808-545-2500
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Fax | 808-545-2500
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Provider Business Mailing Address
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Address Line | 74 N PECOS RD STE B
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City | HENDERSON
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State | NV
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Zip | 89074-7344
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Country | US
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Telephone | 808-545-2500
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Fax | 808-545-2551
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Authorized Official
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Title or Position | SECRETARY
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Name | STEPHEN MICHAEL SEINK
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Credential |
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Telephone | 808-545-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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