Organization
NORTH COAST HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN FISHER (PRESIDENT)
(503) 842-8755
Entity
Organization
Contact information
Practice address
210 IVY AVE, TILLAMOOK, OR 97141-2216
(503) 842-8755
(503) 842-9992
Mailing address
210 IVY AVE, TILLAMOOK, OR 97141-2216
(503) 842-8755
(503) 842-9992
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
NPC-0001368
OR
333300000X
Emergency Response System Companies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122887
—
OR
Enumeration date
10/06/2006
Last updated
10/20/2020
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