Mendocino Coast Clinics, Inc. in Fort Bragg - Federally Qualified Health Center (fqhc)
Mendocino Coast Clinics, Inc. - NPI 1861670093
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 1861670093. The last update date is 2020-06-09.
Mendocino Coast Clinics, Inc.'s current location address is 205 South St, 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 St, Fort Bragg, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mendocino Coast Clinics, Inc. |
|---|---|
| Address | 205 South St, Fort Bragg, California |
| Phone Number | 7079641251 |
| Fax Number | 7079612722 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Cohen Paula |
| Telephone Number | 7079641251 |
NPI Number Detail
| NPI Number | 1861670093 |
|---|---|
| Provider Enumeration Date | 2008-02-11 |
| Last Updated Date | 2020-06-09 |
Provider Mailing Address Detail
| Address | 205 South St |
|---|---|
| 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 |
|---|---|---|---|
| CMM71141F | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mendocino Coast Clinics, Inc. by the Centers for Medicare & Medicaid Services?
The Mendocino Coast Clinics, Inc. has been assigned the NPI (National Provider Identifier) 1861670093. This 10-digit code serves as a unique identification number for healthcare providers issued 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 St, in the city of Fort Bragg, state of CA, with the zip code 954375540.
What is Mendocino Coast Clinics, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mendocino Coast Clinics, Inc.'s specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
On what date did the Mendocino Coast Clinics, Inc. receive its 1861670093 assignment from the Centers for Medicare & Medicaid Services?
The Mendocino Coast Clinics, Inc. was assigned its 1861670093 by the Centers for Medicare & Medicaid Services on 2008-02-11.
As of what date were the details pertaining to Mendocino Coast Clinics, Inc. last refreshed?
The information related to the Mendocino Coast Clinics, Inc., including its address, specialty, and other relevant details, was last updated on 2020-06-09.