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Organization
COASTAL MED-TECH CORP.
Active
Organization
COASTAL MED-TECH CORP.
Active
Other names
Quipt Home Medical Ellsworth
Organization subpart
No
Provider details
NPI number
Authorized official
GREG CRAWFORD (PRESIDENT)
(859) 441-8876
Entity
Organization
Contact information
Practice address
44 DOWNEAST HWY, ELLSWORTH, ME 04605-1735
(207) 677-2508
(207) 667-3099
Mailing address
1019 TOWN DR, HIGHLAND HEIGHTS, KY 41076-9114
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131150000
—
ME
Enumeration date
05/03/2006
Last updated
08/01/2024
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