COASTAL COMMUNITY HEALTH SERVICES, INC. – NPI #1013715325
Clinic/Center

COASTAL COMMUNITY HEALTH SERVICES, INC. is an AHC clinic located in SAVANNAH, GA. NPPES has assigned the NPI number 1013715325 to COASTAL COMMUNITY HEALTH SERVICES, INC. on March 04, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COASTAL COMMUNITY HEALTH SERVICES, INC. below.

NPI Profile for
COASTAL COMMUNITY HEALTH SERVICES, INC.

NPI Number
1013715325
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COASTAL COMMUNITY HEALTH SERVICES, INC.
Primary location
1107 E 66TH ST
SAVANNAH, GA 31404-5701
Phone: (912) 350-8408 Fax:
Mailing address
100 PROFESSIONAL CENTER DR
BRUNSWICK, GA 31525-6743
Phone: (912) 574-5075 Fax:
Organization Subpart
No
Authorized Official
KAVANAUGH CHANDLER
CEO
Phone: (912) 275-8028
Updated
Certification Date
Mar 04, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.