Organization
CENTRAL COAST MD MEDICAL SUPPLIES AND UNIFORMS
Active
Other names
Central Coast MD Medical Supplies and Uniforms
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE CUMMING (ADMINISTRATION MANAGER)
(831) 588-7767
Entity
Organization
Contact information
Practice address
901 SUNSET DR STE 4, HOLLISTER, CA 95023-5613
(831) 588-7767
Mailing address
1840 41ST AVE STE 102-259, CAPITOLA, CA 95010-2513
(831) 588-7767
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/15/2023
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