COASTAL MEDICAL ASSOCIATES
NPI 1124307509
Clinic/Center - Rural Health in Ridgeland, SC
Active since August 16, 2011
10911 N JACOB SMART BLVD, D, RIDGELAND, SC 29936(843) 784-3101(843) 784-5313 Get Directions Write a Review
About Coastal Medical Associates NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL MEDICAL ASSOCIATES (NPI 1124307509) is a healthcare organization registered as a rural health in Ridgeland, South Carolina and active in the NPI registry since August 2011. The organization lists Ron Groteluschen, Cfo, as its authorized official.
NPPES Registry Identity
NPI1124307509
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCOASTAL CAROLINA MEDICAL CENTER, INC
Location Address10911 N JACOB SMART BLVD, DRidgeland, SC 29936-2729
Mailing AddressPo Box 741261Atlanta, GA 30374-1261 · (843) 784-3101 · Fax (843) 784-5313
Phone(843) 784-3101
Fax(843) 784-5313
Organization SubpartNo
Authorized OfficialRon GroteluschenCfo · (843) 784-8076
Enumeration DateAugust 16, 2011
Last NPPES UpdateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
✔ NPI 1124307509 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
10911 N JACOB SMART BLVD, Ridgeland, SC 29936
Other Names 1
Doing Business AsCoastal Medical Associates
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124307509, enumerated as an "organization" on August 16, 2011.
The provider is located at 10911 N JACOB SMART BLVD D RIDGELAND, SC 29936 and the phone number is (843) 784-3101.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
