| U.s. Coast Guard Group/air Station Humboldt Bay Clinic | |
|
1001 Lycoming Ave Mckinleyville CA 95519-9308 | |
| (707) 839-6176 | |
| Not Available |
| Full Name | U.s. Coast Guard Group/air Station Humboldt Bay Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 1001 Lycoming Ave, Mckinleyville, California |
| Authorized Official Name and Position | Edgardo Cabunoc Capacite (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 7078396176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| U.s. Coast Guard Group/air Station Humboldt Bay Clinic 1001 Lycoming Ave Mckinleyville CA 95519-9308 Ph: (707) 839-6176 | U.s. Coast Guard Group/air Station Humboldt Bay Clinic 1001 Lycoming Ave Mckinleyville CA 95519-9308 Ph: (707) 839-6176 |
| NPI Number | 1003998295 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003998295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (District Of Columbia) | Primary |
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