Mendocino Coast Clinics Inc in Fort Bragg - Federally Qualified Health Center (fqhc)
Mendocino Coast Clinics Inc - NPI 1083783757
Mendocino Coast Clinics Inc is a Federally Qualified Health Center (fqhc) in Fort Bragg, California. Mendocino Coast Clinics Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Mendocino Coast Clinics Inc is 1083783757. The last update date is 2020-06-09.
Mendocino Coast Clinics Inc's current location address is 205 South Street, Fort Bragg, California. You can contact this provider via phone number 7079641251 and fax number 7079612722. The mailing address for Mendocino Coast Clinics Inc is 205 South Street, Fort Bragg, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mendocino Coast Clinics Inc |
|---|---|
| Address | 205 South Street, Fort Bragg, California |
| Phone Number | 7079641251 |
| Fax Number | 7079612722 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Renteria Lucresha |
| Telephone Number | 7079641251 |
NPI Number Detail
| NPI Number | 1083783757 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2020-06-09 |
Provider Mailing Address Detail
| Address | 205 South Street |
|---|---|
| City | Fort Bragg |
| State | California (CA) |
| Post Code | 954375540 |
| Phone Number | 7079641251 |
| Fax Number | 7079612722 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| FHC03967F | CA | -- | |
| ZZZ15984Z | CA | MEDICARE PART B PTAN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mendocino Coast Clinics Inc by the Centers for Medicare & Medicaid Services?
The Mendocino Coast Clinics Inc has been issued the NPI (National Provider Identifier) 1083783757, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mendocino Coast Clinics Inc?
The Mendocino Coast Clinics Inc is situated at 205 South Street, in the city of Fort Bragg, state of CA, with the zip code 954375540.
What is Mendocino Coast Clinics Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mendocino Coast Clinics Inc is Federally Qualified Health Center (fqhc), and the taxonomy code that categorizes this field of expertise is 261Qf0400X.
When was the Mendocino Coast Clinics Inc's 1083783757 issued?
The Mendocino Coast Clinics Inc's 1083783757 was issued on 2006-11-07.
When was the information related to Mendocino Coast Clinics Inc most recently updated or refreshed?
The details pertaining to the Mendocino Coast Clinics Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-06-09.