Mendocino Coast Clinics, Inc.
NPI #1285128595 in Fort Bragg, California
Provider Information
- NPI Number
- 1285128595
- Entity Type
- Organization
- Organization Name
- Mendocino Coast Clinics, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jun 20, 2018
- Last Updated
- Jun 20, 2018
Practice Location
- Address
- 510 CYPRESS ST STE C-100
- City
- Fort Bragg
- State
- California
- ZIP Code
- 95437-5411
- Phone
- (707) 961-3430
Authorized Official
- Name
- LUCRESHA M RENTERIA
- Title
- EXECUTIVE DIRECTOR
- Phone
- (707) 964-1251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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