Organization
COASTAL MED-TECH CORP.
Active
Other names
Quipt Home Medical Ellsworth
Organization subpart
No
Provider details
NPI number
Authorized official
GREG CRAWFORD (CEO)
(859) 441-8876
Entity
Organization
Contact information
Practice address
45 DOWD RD, BANGOR, ME 04401-6733
(207) 907-4506
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
Primary
—
—
Other
Enumeration date
11/12/2018
Last updated
07/26/2024
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