Contract Details
Facility name
Coastal Medical
Provider ID
P000000001
NPI
1777047946
Tax ID
463685049
Effective Date
7/2/2020
Last Updated
3/27/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
4851 Wharf Parkway Suite D216F
Orange Beach, AL 36561
United States
Phone
251-980-0774 (Phone)
Billing Details
Address
4851 Wharf Parkway
Suite D216F
Gulf Shores, AL 36561
Billing Phone
251-609-3426
Specialty Type
Durable Medical Equipment & Medical Supplies
Workers Comp Coordinator
Alaina
Parker
251-980-0774
office@coastalmedicalllc.com
Map
Address