Coastal Cardiovascular Surgery, Llc
LBN: Coastal Cardiovascular Surgery, Llc
Coastal Cardiovascular Surgery, Llc is an health care organization with primary practice located at 933 Medical Cir , Myrtle Beach SC 29572-4116. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Coastal Cardiovascular Surgery, Llc can be contacted via phone (843) 497-7772, or through Mcintyre, Alex Brian via phone (843) 497-7772.
Contact Information
Primary practice address
933 Medical Cir
Myrtle Beach SC 29572-4116
Phone: (843) 497-7772
Fax: (843) 497-7627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1952385288 |
|---|---|
| LBN Legal business name | Coastal Cardiovascular Surgery, Llc |
| DBA Doing business as | |
| Authorized official | Mcintyre, Alex Brian |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952385288 | NPPES |
| North Carolina | MEDICAID | 7902111 | |
| North Carolina | Other | 21103 | |
| North Carolina | Other | C19162 | |
| North Carolina | MEDICAID | GP2303 | |
| North Carolina | MEDICAID | T53180 | |
| North Carolina | MEDICAID | 790608L | |
| North Carolina | MEDICAID | 790608T | |
| North Carolina | Other | 12574 |
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