Coastal Community Center Inc
Coastal Community Center Inc is an Internal Medicine Physician in Provo, Utah. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3650 N University Ave Ste 150Provo, UT 84604-6636
Phone: (702) 809-2505
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X |
Record details
| NPI number | 1295690527 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ayushmaan Srinivasa — Board Member · (702) 809-2505 |
| NPI enumerated | December 18, 2025 |
| Last updated in NPPES | December 18, 2025 |
| Certification date | December 18, 2025 |
| Mailing address | 3650 N University Ave Ste 150, Provo, UT 84604-6636 |
Other providers in Provo
-
McKellan Binkley
475 W 940 N, Provo, UT 84604-3301 · (801) 357-7926
-
Dr. William Chadwick Burton, MD
1034 N 500 W, Provo, UT 84604-3380 · (910) 616-3586
-
Dr. Stephen Loyd Christensen, MD
1034 N 500 W, Provo, UT 84604-3380 · (801) 357-7291
-
Kyle David Clarke, MD
1034 N 500 W, Provo, UT 84604-3337 · (801) 357-7850
-
Robert E Corniea Jr., MD
1055 N 500 W Ste 212, Provo, UT 84604-3305 · (801) 374-2362
-
Dr. Robert W Day, MD
1034 N 500 W, Provo, UT 84604-3380 · (801) 373-7850
-
Dr. Michael J Doermann, DO
395 W Bulldog Blvd Fl 6, Provo, UT 84604-3311 · (801) 357-0570
-
Dr. Kyle Blake Fordham, MD
1034 N 500 W, Provo, UT 84604-3380 · (801) 357-8310