COASTAL COMMUNITY HEALTH SERVICES, INC.
NPI 1851131874
Clinic/Center - Federally Qualified Health Center (FQHC) in Fernandina Beach, FL

Q: 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.

Active since May 28, 2024CLIA 10D2309865 · Microscopy

22385 FLORA PARK CROSSING DRIVE, FERNANDINA BEACH, FL 32034(904) 404-8641(904) 227-3246 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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 1851131874) is a healthcare organization registered as a federally qualified health center (fqhc) in Fernandina Beach, Florida and active in the NPI registry since May 2024. The organization holds a CLIA Microscopy certificate valid through August 21, 2026 and lists Kavanaugh Chandler, Ceo, as its authorized official.

NPPES Registry Identity

NPI1851131874

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCOASTAL COMMUNITY HEALTH SERVICES, INC.

Location Address22385 FLORA PARK CROSSING DRIVEFernandina Beach, FL 32034

Mailing Address100 Professional Center DrBrunswick, GA 31525-6743 · (912) 574-5075

Phone(904) 404-8641

Fax(904) 227-3246

Organization SubpartNo

Authorized OfficialKavanaugh ChandlerCeo · (912) 275-8028

Enumeration DateMay 28, 2024

NPPES CertifiedMay 22, 2024

✔ NPI 1851131874 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

22385 FLORA PARK CROSSING DRIVE, Fernandina Beach, FL 32034

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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 for Provider-Performed Microscopy Procedures (PPMP) 10D2309865

Coastal Community Health Services Inc · Fernandina Beach, FL

Active · expires Aug 21, 2026

CLIA Number10D2309865

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateAugust 22, 2024

Certificate Expiration DateAugust 21, 2026

Laboratory DirectorDennis Horner

Laboratory Phone(912) 574-5076

Laboratory LocationCoastal Community Health Services Inc22385 Flora Park Crossing Dr, Fernandina Beach, FL 32034

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Community Health Services, Inc.'s NPI number?

The NPI number for Coastal Community Health Services, Inc. is 1851131874. It was assigned to this organization in the NPPES registry on May 28, 2024.

Where is Coastal Community Health Services, Inc. located?

Coastal Community Health Services, Inc. is located at 22385 Flora Park Crossing Drive, Fernandina Beach, FL 32034. The listed phone number is (904) 404-8641.

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.

Does Coastal Community Health Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 10D2309865) is associated with this NPI, valid through August 21, 2026. 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 Community Health Services, Inc. was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.