National Provider Identifier Database

MENDOCINO COAST CLINICS INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

MENDOCINO COAST CLINICS, INC
510 CYPRESS ST STE D
FORT BRAGG, CA95437
Phone: 707-964-5696
Fax:
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for MENDOCINO COAST CLINICS, INC

NPI Number 1326335464
Legal business name
LBN
MENDOCINO COAST CLINICS, INC
Authorized official LUCRESHIA RENTERIA - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart Yes
Enumeration date 07/08/2011
Last updated 10/28/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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