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COASTAL CHILDRENS CLINIC
NPI 1962665653
Pediatrics in Havelock, NC

Active since July 03, 2008CLIA 34D0246260 · Certificate of Compliance
218 STONE BRIDGE SQUARE, HAVELOCK, NC 28532(252) 633-2900 Get Directions Write a Review

NPPES record last updated: July 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coastal Childrens Clinic NPPES

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

COASTAL CHILDRENS CLINIC (NPI 1962665653) is a healthcare organization registered as a pediatrics in Havelock, North Carolina and active in the NPI registry since July 2008. The organization holds a CLIA Certificate of Compliance certificate valid through April 20, 2028 and lists Diane Houck, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1962665653
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCOASTAL CHILDRENS CLINIC
Location Address218 STONE BRIDGE SQUAREHavelock, NC 28532
Mailing Address218 Stonebridge SqHavelock, NC 28532-9505
Phone(252) 633-2900
Organization SubpartNo
Authorized OfficialDiane HouckPractice Administrator · (252) 633-2900
Enumeration DateJuly 3, 2008
✔ NPI 1962665653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
218 STONE BRIDGE SQUARE, Havelock, NC 28532
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Compliance 34D0246260

Coastal Children's Clinic Havelock · Havelock, NC
Active · expires Apr 20, 2028
CLIA Number34D0246260
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2026
Certificate Expiration DateApril 20, 2028
Laboratory DirectorCharles M. Crawford
Laboratory Phone(252) 447-8100
Laboratory LocationCoastal Children's Clinic Havelock218 Stonebridge Square, Havelock, NC 28532
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Childrens Clinic's NPI number?

The NPI number for Coastal Childrens Clinic is 1962665653. It was assigned to this organization in the NPPES registry on July 3, 2008.

Where is Coastal Childrens Clinic located?

Coastal Childrens Clinic is located at 218 Stone Bridge Square, Havelock, NC 28532. The listed phone number is (252) 633-2900.

What is Coastal Childrens Clinic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Coastal Childrens Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 34D0246260) is associated with this NPI, valid through April 20, 2028. 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 Childrens Clinic was last updated on July 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.