# COASTAL MEDICAL TRANSPORTATION SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coastal Medical Transportation Services LLC - Vacinations
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285226407
- **Authorized official:** ALEXANDRE THEOHARIDIS (PRESIDENT)
- **Authorized official phone:** (508) 694-6687

## Contact information

- **Practice address:** 259 WILLOW ST, YARMOUTH PORT, MA 02675-1762
- **Practice address phone:** (617) 682-1854
- **Mailing address:** 259 WILLOW ST, YARMOUTH PORT, MA 02675-1762
- **Mailing address phone:** (617) 682-1854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/09/2021
- **Last updated:** 02/09/2021