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COASTAL CAROLINA UNIVERSITY
NPI 1710136908
Clinic/Center in Conway, SC

Active since September 12, 2008
204 UNIVERSITY BLVD, CONWAY, SC 29526(843) 649-6543 Get Directions Write a Review

NPPES record last updated: September 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coastal Carolina University NPPES

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

COASTAL CAROLINA UNIVERSITY (NPI 1710136908) is a healthcare organization registered as a clinic/center in Conway, South Carolina and active in the NPI registry since September 2008. The organization lists Jill Michael, Nirse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1710136908
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCOASTAL CAROLINA UNIVERSITY
Location Address204 UNIVERSITY BLVDConway, SC 29526-8834
Mailing Address204 University BlvdConway, SC 29526-8834 · (843) 649-6543
Phone(843) 649-6543
Organization SubpartNo
Authorized OfficialJill MichaelNirse Practitioner · (843) 349-6543
Enumeration DateSeptember 12, 2008
✔ NPI 1710136908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in SC · 3684
Definition
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).
204 UNIVERSITY BLVD, Conway, SC 29526
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Other Providers at the Same Location NPPES 3

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

COASTAL CAROLINA UNIVERSITY STUDENT HEALTH SERVICES
Clinic/Center (Student Health)
204 UNIVERSITY BLVD
CONWAY, SC 29526
Horry County (843) 349-6543
MISS TONYA RENELL MCKENZIE APRN-BC
Nurse Practitioner (Family)
204 UNIVERSITY BLVD
CONWAY, SC 29526
Horry County (843) 349-6543
JENNIFER O KUPERMAN M.D.
Internal Medicine
204 UNIVERSITY BLVD
CONWAY, SC 29526
Horry County (843) 349-6543

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 Carolina University's NPI number?

The NPI number for Coastal Carolina University is 1710136908. It was assigned to this organization in the NPPES registry on September 12, 2008.

Where is Coastal Carolina University located?

Coastal Carolina University is located at 204 University Blvd, Conway, SC 29526. The listed phone number is (843) 649-6543.

What is Coastal Carolina University's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Coastal Carolina University was last updated on September 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.