Coastline Medical, INC.
Prosthetic/Orthotic Supplier in Virginia Beach, VA. Organization (NPI-2).
Details
- NPI
- 1902176563
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastline Medical, INC.
- Organization subpart
- No
- Enumeration date
- Jan 12, 2012
- Certification date
- Nov 29, 2023
- Last updated
- Nov 29, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Practice location
509 Viking Dr Ste EVirginia Beach, VA 23452-7323
Phone 757-275-8050 · Fax 888-600-5328
Mailing address
509 Viking Dr Ste EVirginia Beach, VA 23452-7323
Phone 757-275-8050 · Fax 888-600-5328
Authorized official
James Michael Ray
President
7572758050
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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