Coastal Midwifery And Behavioral Health L L C | |
400 Believers Ln Ne Ludowici GA 31316-1718 | |
(253) 777-7501 | |
Not Available |
Full Name | Coastal Midwifery And Behavioral Health L L C |
---|---|
Speciality | Advanced Practice Midwife |
Location | 400 Believers Ln Ne, Ludowici, Georgia |
Authorized Official Name and Position | April Mearse (MANAGING PARTNER) |
Authorized Official Contact | 3608687026 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Coastal Midwifery And Behavioral Health L L C 400 Believers Ln Ne Ludowici GA 31316-1718 Ph: (253) 777-7501 | Coastal Midwifery And Behavioral Health L L C 400 Believers Ln Ne Ludowici GA 31316-1718 Ph: (253) 777-7501 |
NPI Number | 1184354912 |
---|---|
Provider Enumeration Date | 06/14/2022 |
Last Update Date | 03/09/2023 |
Medicare PECOS PAC ID | 9032588629 |
---|---|
Medicare Enrollment ID | O20221202001045 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184354912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
Provider Name | Jacob Mearse |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1518362664 PECOS PAC ID: 9436414687 Enrollment ID: I20220706000876 |
Diversity Health Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 N Mcdonald St Ste C, Ludowici, GA 31316 Phone: 912-545-9398 Fax: 912-545-2747 | |
Ludowici Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Mcdonald St, Ludowici, GA 31316 Phone: 912-545-9511 Fax: 912-545-9341 | |
Ludowici Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 North Mcdonald Street, Ludowici, GA 31316 Phone: 912-545-9511 Fax: 912-545-9341 | |
Diversity Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 213 N Mcdonald St Ste A&b, Ludowici, GA 31316 Phone: 912-545-9398 Fax: 912-545-2747 |