COASTAL COMMUNITY HEALTH SERVICES, INC.
NPI 1023359395
Clinic/Center in Brunswick, GA

NPI Status: Active since March 11, 2013

Contact Information

700 COASTAL VILLAGE DR
BRUNSWICK, GA
ZIP 31520
Phone: (912) 554-8510

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  • Organization
  • Clinic/Center
  • CLIA Number: 11D2302615
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 04-11-2026

About COASTAL COMMUNITY HEALTH SERVICES, INC.

This page provides the complete NPI Profile along with additional information for Coastal Community Health Services, Inc., a provider established in Brunswick, Georgia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1023359395 assigned on March 2013. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Rachel N Skinner (Director Of Reimbursement)

NPI
1023359395
Provider Name
COASTAL COMMUNITY HEALTH SERVICES, INC.
Entity Type
Organization
Location Address
700 COASTAL VILLAGE DR BRUNSWICK, GA 31520
Location Phone
(912) 554-8510
Mailing Address
700 COASTAL VILLAGE DR BRUNSWICK, GA 31520
Mailing Phone
(912) 554-8510
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-11-2013
Last Update Date
03-11-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RACHEL N SKINNER

Authorized Official Title
DIRECTOR OF REIMBURSEMENT
Authorized Official Phone
(912) 554-8498

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2302615
Facility Type
Federally Qualified Health Center
Certificate Effective Date
April 12, 2024
Certificate Expiration Date
April 11, 2026
Laboratory Director
BRIANA GRAY
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Coastal Community Health Services, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023359395, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 3 → 6 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 6 + 5 + 1 + 8 + 3 + 1 + 8 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1023359395.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Psychiatry & Neurology (Psychiatry)
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Social Worker (Clinical)
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Social Worker
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Registered Nurse
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Registered Nurse
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Licensed Practical Nurse
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Registered Nurse
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Registered Nurse
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Registered Nurse
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Registered Nurse
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Registered Nurse
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Registered Nurse
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Registered Nurse
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Registered Nurse
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Registered Nurse
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Registered Nurse
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Registered Nurse
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Registered Nurse
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023359395, enumerated as an "organization" on March 11, 2013.

The provider is located at 700 COASTAL VILLAGE DR BRUNSWICK, GA 31520 and the phone number is (912) 554-8510.

Clinic/Center with taxonomy code 261Q00000X.