Provider Demographics
NPI:1538193743
Name:COASTAL BEND RURAL MEDICAL EQUIPMENT INC.
Entity type:Organization
Organization Name:COASTAL BEND RURAL MEDICAL EQUIPMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:DOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-362-8794
Mailing Address - Street 1:PO BOX 1176
Mailing Address - Street 2:
Mailing Address - City:BEEVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78104-1176
Mailing Address - Country:US
Mailing Address - Phone:361-358-7334
Mailing Address - Fax:361-358-2767
Practice Address - Street 1:200 S HILLSIDE DR
Practice Address - Street 2:
Practice Address - City:BEEVILLE
Practice Address - State:TX
Practice Address - Zip Code:78102-5349
Practice Address - Country:US
Practice Address - Phone:361-358-7334
Practice Address - Fax:361-358-2767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0028184332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0632980001Medicare NSC