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NORTH COAST PROFESSIONAL COMPANY LLC NPI 1376080929


NPI Information

NPI: 1376080929
Provider Name: NORTH COAST PROFESSIONAL COMPANY, LLC

Doing Business As: FIRELANDS PHYSICIAN GROUP

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 36D1042790

Address:
292 BENEDICT AVE
NORWALK, OH
ZIP 44857
Phone: (419) 557-5541
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NORTH COAST PROFESSIONAL COMPANY, LLC is a rural health clinic center in Norwalk, OH. NORTH COAST PROFESSIONAL COMPANY, LLC NPI is 1376080929. The provider is registered as an organization entity type.
The provider Is Doing Business As Firelands Physician Group.

The provider's business location address is:

292 BENEDICT AVE
NORWALK, OH
ZIP 44857-374
Phone: (419) 557-5541
Fax: (419) 557-5542

The provider's authorized official is Janis A Shriver .
The authorized official title is Vice President and has the following contact phone number (419) 557-5540.

The CLIA number assigned to this NPI record is 36D1042790 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/20/2017 and was last updated on 1/20/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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