Organization
COASTAL MED TECH, INC.
Active
Parent organization
COASTAL MED TECH
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL MED TECH
Authorized official
MS. SHANNON SEVEY (COMPLIANCE OFFICER)
(207) 848-7152
Entity
Organization
Contact information
Practice address
730 CENTER ST, AUBURN, ME 04210-6316
(207) 782-0660
(207) 782-0441
Mailing address
730 CENTER STREET, UNIT 10-C, AUBURN, ME 04210
(207) 782-0660
(207) 782-0441
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1142509
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118860000
—
ME
Enumeration date
03/01/2007
Last updated
10/13/2016
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