| Coastal Community Health Services, Inc. | |
|
1022 Miller Ln Sw Darien GA 31305-3738 | |
| (912) 342-7846 | |
| Not Available |
| Full Name | Coastal Community Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1022 Miller Ln Sw, Darien, Georgia |
| Authorized Official Name and Position | Kavanaugh Chandler (CEO) |
| Authorized Official Contact | 9122758028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Community Health Services, Inc. 100 Professional Center Dr Brunswick GA 31525-6743 Ph: (912) 275-8028 | Coastal Community Health Services, Inc. 1022 Miller Ln Sw Darien GA 31305-3738 Ph: (912) 342-7846 |
| NPI Number | 1235834045 |
|---|---|
| Provider Enumeration Date | 04/03/2023 |
| Last Update Date | 04/03/2023 |
| Medicare PECOS PAC ID | 0345463683 |
|---|---|
| Medicare Enrollment ID | O20230731002962 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235834045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Coastal Community Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1102 Ca Devillars Rd, Darien, GA 31305 Phone: 912-437-6675 | |
Optim Primary Care- Darien Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 North Way, Darien, GA 31305 Phone: 912-644-5300 | |
Restorative Language Therapy Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Bridgewater Ln, Darien, GA 31305 Phone: 912-248-2734 |