# CENTRAL COAST MD MEDICAL SUPPLIES AND UNIFORMS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Coast MD Medical Supplies and Uniforms
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326825308
- **Authorized official:** CHRISTINE CUMMING (ADMINISTRATION MANAGER)
- **Authorized official phone:** (831) 588-7767

## Contact information

- **Practice address:** 901 SUNSET DR STE 4, HOLLISTER, CA 95023-5613
- **Practice address phone:** (831) 588-7767
- **Mailing address:** 1840 41ST AVE STE 102-259, CAPITOLA, CA 95010-2513
- **Mailing address phone:** (831) 588-7767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 09/12/2023
- **Last updated:** 09/15/2023