Midcoast Care Inc. a Medical Group

NPI #1255458881 in Grover Beach, California

Provider Information

NPI Number: 1255458881
Entity Type: Organization
Organization Name: Midcoast Care Inc. a Medical Group
Primary Specialty: Contractor
Enumeration Date: Mar 26, 2007
Last Updated: Jun 25, 2008

Practice Location

Address: 1570 W GRAND AVE
City: Grover Beach
State: California
ZIP Code: 93433-2261
Phone: (805) 709-3667

Authorized Official

Name: MS. BARBARA CHEEVER
Title: EXECUTIVE DIRECTOR
Phone: (805) 709-3667

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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