OrganizationActive
Coastal Carolina University
NPI 1710136908 · Clinic/Center · Conway, SC
Coastal Carolina University is a Clinic/Center organization in Conway, SC (NPI 1710136908).
Provider details
- NPI number
- 1710136908
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jill Michael, Nirse Practitioner(843) 349-6543
- License
- 3684 (SC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
204 University Blvd
Conway, SC 29526-8834
Phone: (843) 649-6543
Street-level locationGet directions
Mailing address
204 University Blvd
Conway, SC 29526-8834
Registry dates
- Enumerated
- 2008-09-12
- Last updated
- 2008-09-12
Frequently asked questions
- What is Coastal Carolina University's NPI number?
- Coastal Carolina University's National Provider Identifier (NPI) is 1710136908, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Carolina University?
- Coastal Carolina University is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Coastal Carolina University located?
- Coastal Carolina University's practice location on file with NPPES is 204 University Blvd, Conway, SC 29526-8834.
- What is Coastal Carolina University's phone number?
- The practice phone number listed in the NPPES registry for Coastal Carolina University is (843) 649-6543.
- Who is the authorized official for Coastal Carolina University?
- The authorized official listed on Coastal Carolina University's NPPES record is Jill Michael, Nirse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Carolina University's NPI active?
- Yes — Coastal Carolina University's NPI (1710136908) is active in the NPPES registry as of the last update on 2008-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.