MARTIN MEMORIAL MEDICENTER AT ST LUCIE WEST – NPI #1821147059
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

MARTIN MEMORIAL MEDICENTER AT ST LUCIE WEST is a provider located in PORT SAINT LUCIE, FL. NPPES has assigned the NPI number 1821147059 to MARTIN MEMORIAL MEDICENTER AT ST LUCIE WEST on January 09, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MARTIN MEMORIAL MEDICENTER AT ST LUCIE WEST” is a dba name, the actual legal business name for this organization is COASTAL CARE CORPORATION. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 13 years ago on Aug 27, 2013. 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 MARTIN MEMORIAL MEDICENTER AT ST LUCIE WEST below.

NPI Profile for
COASTAL CARE CORPORATION

NPI Number
1821147059
Enumeration Date

(more than 19 years 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 CARE CORPORATION
Doing Business As (dba): MARTIN MEMORIAL MEDICENTER AT ST LUCIE WEST
Primary location
1095 NW SAINT LUCIE WEST BLVD
PORT SAINT LUCIE, FL 34986-1719
Phone: (772) 785-5500 Fax: (772) 785-5598
Mailing address
PO BOX 417
STUART, FL 34995-0417
Phone: (772) 223-5665 Fax: (772) 223-5646
Organization Subpart
No
Authorized Official
MARKEY DEBBIE
MANAGER
Phone: (772) 785-5510
Updated
Identifiers

Identifiers for MARTIN MEMORIAL MEDICENTER AT ST LUCIE WEST

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL064696207
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
207Q00000X
- Family Medicine (Primary)		 FL 110680041014466

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.