institution
Mendocino Coast Clinics Inc
Federally Qualified Health Center (FQHC) in Fort Bragg, California
NPI 1083783757

Mendocino Coast Clinics Inc is a Federally Qualified Health Center (FQHC) based in Fort Bragg, CA and is specialized in Federally Qualified Health Center (FQHC). Mendocino Coast Clinics Inc practices in Fort Bragg, CA. The NPI Number for Mendocino Coast Clinics Inc is 1083783757 and holds a License No. (California).

The current practice location address for Mendocino Coast Clinics Inc is 205 South Street, Fort Bragg, CA and can be reached out via phone at 707-964-1251 and via fax at 707-961-2722.

Location: 205 South Street, Fort Bragg, CA, 95437-5540
institution
Provider Profile Details
NPI Number
1083783757
Provider Name
Mendocino Coast Clinics Inc
Credential
Provider Entity Type
Organization
Address
205 South Street, Fort Bragg, CA, 95437-5540
Phone Number
707-964-1251
Fax Number
707-961-2722
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
FHC03967F 05 CA
ZZZ15984Z 01 CA MEDICARE PART B PTAN
institution
Provider Business Practice Location Address Details
Address
205 South Street
City
State
Zip
95437-5540
Phone Number
707-964-1251
Fax Number
707-961-2722
person
Provider Business Mailing Address Details
Address
205 South Street
City
State
Zip
95437-5540
Phone Number
707-964-1251
Fax Number
707-961-2722
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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