Organization
NORTH COAST PROFESSIONAL COMPANY, LLC
Active
Other names
Firelands Physician Group Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
JANIS A SHRIVER HCMBA, CPA (VICE PRESIDENT)
(419) 557-5540
Entity
Organization
Contact information
Practice address
1605 STATE RD, VINEYARD SQUARE PLAZA #9, VERMILION, OH 44089-9141
(440) 967-1128
(440) 967-1172
Mailing address
1031 PIERCE ST, SUITE D, SANDUSKY, OH 44870-4669
(419) 557-5541
(419) 557-5542
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2021707
—
OH
Enumeration date
05/06/2013
Last updated
05/06/2013
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