Coastal Community Health Services, Inc.
NPI 1184440463 · Federally Qualified Health Center (FQHC) · Orange Park, FL
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coastal Community Health Services, Inc. is a Federally Qualified Health Center (FQHC) organization in Orange Park, FL (NPI 1184440463).
Provider details
- NPI number
- 1184440463
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kavanaugh Chandler, Ceo(912) 275-8028
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Coastal Community Health-Jacksonville
Registry dates
- Enumerated
- 2024-12-02
- Last updated
- 2025-05-14
- Certified
- 2025-05-14
Frequently asked questions
- What is Coastal Community Health Services, Inc.'s NPI number?
- Coastal Community Health Services, Inc.'s National Provider Identifier (NPI) is 1184440463, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Community Health Services, Inc.?
- Coastal Community Health Services, Inc. is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Coastal Community Health Services, Inc. located?
- Coastal Community Health Services, Inc.'s practice location on file with NPPES is 1605 Kingsley Ave, Orange Park, FL 32073-4435.
- What is Coastal Community Health Services, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Coastal Community Health Services, Inc. is (904) 750-3380.
- Does Coastal Community Health Services, Inc. accept Medicare?
- Coastal Community Health Services, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Coastal Community Health Services, Inc.?
- The authorized official listed on Coastal Community Health Services, Inc.'s NPPES record is Kavanaugh Chandler, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Community Health Services, Inc.'s NPI active?
- Yes — Coastal Community Health Services, Inc.'s NPI (1184440463) is active in the NPPES registry as of the last update on 2025-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.