# NORTH COAST PROFESSIONAL COMPANY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Firelands Physician Group Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487099321
- **Authorized official:** JANIS A SHRIVER HCMBA, CPA (VICE PRESIDENT)
- **Authorized official phone:** (419) 557-5540

## Contact information

- **Practice address:** 1605 STATE RD, VINEYARD SQUARE PLAZA \#9, VERMILION, OH 44089-9141
- **Practice address phone:** (440) 967-1128
- **Practice address fax:** (440) 967-1172
- **Mailing address:** 1031 PIERCE ST, SUITE D, SANDUSKY, OH 44870-4669
- **Mailing address phone:** (419) 557-5541
- **Mailing address fax:** (419) 557-5542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/06/2013
- **Last updated:** 05/06/2013