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
177 COLLEGE AVE, WATERVILLE, ME 04901-6219
(800) 773-6511
(207) 872-7310
Mailing address
1019 TOWN DR, HIGHLAND HEIGHTS, KY 41076-9114
(859) 441-8876
(859) 441-5850
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131150000
—
ME
Enumeration date
11/12/2018
Last updated
03/26/2024
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