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Coast Healthcare Supply
Oxygen Equipment & Supplies (DME) in Fort Bragg, California
NPI 1477637205

Coast Healthcare Supply is a Oxygen Equipment & Supplies (DME) based in Fort Bragg, CA and is specialized in Oxygen Equipment & Supplies. Coast Healthcare Supply practices in Fort Bragg, CA. The NPI Number for Coast Healthcare Supply is 1477637205 and holds a License No. 102629 (California).

The current practice location address for Coast Healthcare Supply is 190 E Elm St, Fort Bragg, CA and can be reached out via phone at 707-964-1112 and via fax at 707-964-1222.

Location: 190 E Elm St, Fort Bragg, CA, 95437-3026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477637205
Provider Name
Coast Healthcare Supply
Credential
Provider Entity Type
Organization
Address
190 E Elm St, Fort Bragg, CA, 95437-3026
Phone Number
707-964-1112
Fax Number
707-964-1222
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DME1708F 05 CA
institution
Provider Business Practice Location Address Details
Address
190 E Elm St
City
Fort Bragg
State
California
Zip
95437-3026
Phone Number
707-964-1112
Fax Number
707-964-1222
person
Provider Business Mailing Address Details
Address
190 E Elm St
City
Fort Bragg
State
California
Zip
95437-3026
Phone Number
707-964-1112
Fax Number
707-964-1222
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
102629 (California)
Definition
Definition to come...
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