MENDOCINO COAST CLINICS, INC; NPI #1326335464

Contact Information

MENDOCINO COAST CLINICS, INC

510 CYPRESS ST STE D
FORT BRAGG, CA 95437

Phone: 707-964-5696
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for MENDOCINO COAST CLINICS, INC

NPI Number	`1326335464`
LBN Legal business name	MENDOCINO COAST CLINICS, INC
Authorized official	LUCRESHIA RENTERIA - (AUTHORIZED OFFICIAL)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	07/08/2011
Last updated	10/28/2019 - About 7 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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