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COASTAL HEALTH AND WELLNESS, L.L.C.
NPI 1578088001
Clinic/Center - Primary Care in Spanish Fort, AL

Active since August 05, 2017CLIA 01D2135969 · Waiver
14 CONFEDERATE DR S, SPANISH FORT, AL 36527(205) 919-9279(208) 947-3465 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Aug 5, 2017 (2 updates tracked since 2017).

About Coastal Health And Wellness, L.l.c. NPPES

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

COASTAL HEALTH AND WELLNESS, L.L.C. (NPI 1578088001) is a healthcare organization registered as a primary care in Spanish Fort, Alabama and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through August 29, 2027 and lists Blair Carmichael-lober, Owner, as its authorized official.

NPPES Registry Identity

NPI1578088001
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCOASTAL HEALTH & WELLNESS
Location Address14 CONFEDERATE DR SSpanish Fort, AL 36527-3062
Mailing Address14 Confederate Dr SSpanish Fort, AL 36527-3062 · (205) 919-9279 · Fax (208) 947-3465
Phone(205) 919-9279
Fax(208) 947-3465
Organization SubpartNo
Authorized OfficialBlair Carmichael-loberOwner · (205) 919-9279
Enumeration DateAugust 5, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1578088001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
14 CONFEDERATE DR S, Spanish Fort, AL 36527
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Other Names 1

Doing Business AsCoastal Health And Wellness, L.l.c.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2135969

Coastal Health & Wellness · Spanish Fort, AL
Active · expires Aug 29, 2027
CLIA Number01D2135969
Laboratory TypeMobile Laboratory
Certificate Effective DateAugust 30, 2025
Certificate Expiration DateAugust 29, 2027
Laboratory DirectorBlair N. Lober Crnp
Laboratory Phone(205) 919-9279
Laboratory LocationCoastal Health & Wellness14 Confederate Dr S, Spanish Fort, AL 36527
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Health & Wellness's NPI number?

The NPI number for Coastal Health & Wellness is 1578088001. It was assigned to this organization in the NPPES registry on August 5, 2017. The provider is doing business as Coastal Health And Wellness, L.L.C..

Where is Coastal Health & Wellness located?

Coastal Health & Wellness is located at 14 Confederate Dr S, Spanish Fort, AL 36527. The listed phone number is (205) 919-9279.

What is Coastal Health & Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Coastal Health & Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2135969) is associated with this NPI, valid through August 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coastal Health & Wellness was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.