Organization
U.S. COAST GUARD GROUP/AIR STATION HUMBOLDT BAY CLINIC
Active
Organization
U.S. COAST GUARD GROUP/AIR STATION HUMBOLDT BAY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGARDO CABUNOC CAPACITE (CLINIC ADMINISTRATOR)
(707) 839-6176
Entity
Organization
Contact information
Practice address
1001 LYCOMING AVE, MCKINLEYVILLE, CA 95519-9308
(707) 839-6176
Mailing address
1001 LYCOMING AVE, MCKINLEYVILLE, CA 95519-9308
(707) 839-6176
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
DC
Other
Enumeration date
10/19/2006
Last updated
07/21/2022
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