Provider Demographics
NPI:1417477092
Name:COASTAL BEND URGENT CARE, LLC
Entity Type:Organization
Organization Name:COASTAL BEND URGENT CARE, LLC
Other - Org Name:COASTAL BEND LONG TERM CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:LOWE
Authorized Official - Last Name:GRAPPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-358-8880
Mailing Address - Street 1:600 S HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BEEVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78102-5327
Mailing Address - Country:US
Mailing Address - Phone:361-358-8880
Mailing Address - Fax:361-358-8153
Practice Address - Street 1:600 S HILLSIDE DR
Practice Address - Street 2:
Practice Address - City:BEEVILLE
Practice Address - State:TX
Practice Address - Zip Code:78102-5327
Practice Address - Country:US
Practice Address - Phone:361-358-8880
Practice Address - Fax:361-358-8153
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COASTAL BEND URGENT CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility