Mendocino Coast Clinics, INC
NPI #1326335464 in Fort Bragg, California
Provider Information
- NPI Number
- 1326335464
- Entity Type
- Organization
- Organization Name
- Mendocino Coast Clinics, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MENDOCINO COAST CLINICS, INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jul 8, 2011
- Last Updated
- Oct 28, 2019
Practice Location
- Address
- 510 CYPRESS ST STE D
- City
- Fort Bragg
- State
- California
- ZIP Code
- 95437
- Phone
- (707) 964-5696
Authorized Official
- Name
- LUCRESHIA RENTERIA
- Title
- AUTHORIZED OFFICIAL
- Phone
- (707) 964-1251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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