Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coastal Carolina Medical Center, Inc

Organization Rural Health Clinic/Center · NPI 1124307509

Coastal Carolina Medical Center, Inc is a Rural Health Clinic/Center in Ridgeland, South Carolina. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10911 N Jacob Smart Blvd D
Ridgeland, SC 29936-2729
Phone: (843) 784-3101
Fax: (843) 784-5313
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X

Record details

NPI number1124307509
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ron Groteluschen — Cfo · (843) 784-8076
Other names Coastal Medical Associates; Coastal Medical Associates
NPI enumeratedAugust 16, 2011
Last updated in NPPESMarch 22, 2022
Certification dateMarch 22, 2022
Mailing addressPo Box 741261, Atlanta, GA 30374-1261

Other providers in Ridgeland