OrganizationActive
Coast Healthcare Supply
NPI 1477637205 · Oxygen Equipment & Supplies (DME) · Fort Bragg, CA
Coast Healthcare Supply is a Oxygen Equipment & Supplies (DME) organization in Fort Bragg, CA (NPI 1477637205).
Provider details
- NPI number
- 1477637205
- Entity type
- Organization
- Primary specialty
- Oxygen Equipment & Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Diane Dahl, Manager(707) 964-1112
- License
- 102629 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs 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
190 E Elm St
Fort Bragg, CA 95437-3026
Phone: (707) 964-1112
Fax: (707) 964-1222
Street-level locationGet directions
Mailing address
190 E Elm St
Fort Bragg, CA 95437-3026
Other names (DBA / former)
- Doing business as
- Karen Markard Jenkins
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2020-08-22
Frequently asked questions
- What is Coast Healthcare Supply's NPI number?
- Coast Healthcare Supply's National Provider Identifier (NPI) is 1477637205, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coast Healthcare Supply?
- Coast Healthcare Supply is classified in the NPPES registry as Oxygen Equipment & Supplies (DME) (Suppliers).
- Where is Coast Healthcare Supply located?
- Coast Healthcare Supply's practice location on file with NPPES is 190 E Elm St, Fort Bragg, CA 95437-3026.
- What is Coast Healthcare Supply's phone number?
- The practice phone number listed in the NPPES registry for Coast Healthcare Supply is (707) 964-1112.
- Who is the authorized official for Coast Healthcare Supply?
- The authorized official listed on Coast Healthcare Supply's NPPES record is Diane Dahl, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coast Healthcare Supply's NPI active?
- Yes — Coast Healthcare Supply's NPI (1477637205) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.