1. Home
  2. Directory
  3. Florida
  4. Orange Park
  5. Clinic Center
  6. NPI Profile

COASTAL COMMUNITY HEALTH SERVICES, INC.
NPI 1184440463
Clinic/Center - Federally Qualified Health Center (FQHC) in Orange Park, FL

Active since December 02, 2024
1605 KINGSLEY AVE, ORANGE PARK, FL 32073(904) 750-3380 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2025, Dec 2, 2024 (2 updates tracked since 2024).

About Coastal Community Health Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL COMMUNITY HEALTH SERVICES, INC. (NPI 1184440463), doing business as Coastal Community Health-jacksonville, is a healthcare organization registered as a federally qualified health center (fqhc) in Orange Park, Florida and active in the NPI registry since December 2024. The organization lists Kavanaugh Chandler, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184440463
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOASTAL COMMUNITY HEALTH SERVICES, INC.
Location Address1605 KINGSLEY AVEOrange Park, FL 32073-4435
Mailing Address100 Professional Center DrBrunswick, GA 31525-6743 · (912) 574-5075
Phone(904) 750-3380
Organization SubpartNo
Authorized OfficialKavanaugh ChandlerCeo · (912) 275-8028
Enumeration DateDecember 2, 2024
Last NPPES UpdateMay 14, 20252 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1184440463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1605 KINGSLEY AVE, Orange Park, FL 32073
Open in Google Maps ↗

Other Names 1

Doing Business AsCoastal Community Health-jacksonville

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WOMEN'S CARE FLORIDA LLC
Obstetrics & Gynecology
1605 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 264-9555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Community Health Services, Inc.'s NPI number?

The NPI number for Coastal Community Health Services, Inc. is 1184440463. It was assigned to this organization in the NPPES registry on December 2, 2024. The provider is doing business as Coastal Community Health-Jacksonville.

Where is Coastal Community Health Services, Inc. located?

Coastal Community Health Services, Inc. is located at 1605 Kingsley Ave, Orange Park, FL 32073. The listed phone number is (904) 750-3380.

What is Coastal Community Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Coastal Community Health Services, Inc. was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.