| Coastalcare | |
|
3809 Shipyard Blvd Wilmington NC 28403-6150 | |
| (910) 550-2600 | |
| (910) 550-2570 |
| Full Name | Coastalcare |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3809 Shipyard Blvd, Wilmington, North Carolina |
| Authorized Official Name and Position | Glenna Harford (CFO) |
| Authorized Official Contact | 9105502567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastalcare P.o. Box 4147 Wilmington NC 28406-1147 Ph: (910) 550-2600 | Coastalcare 3809 Shipyard Blvd Wilmington NC 28403-6150 Ph: (910) 550-2600 |
| NPI Number | 1316006075 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 08/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316006075 | NPI | - | NPPES |
| 3408379 | Medicaid | NC | |
| 3404933 | Medicaid | NC |
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