REDWOOD COAST MEDICAL SERVICES, INC. (NPI# 1962530725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962530725 |
| Entity Type | Organization |
| Organization Name | REDWOOD COAST MEDICAL SERVICES, INC. |
| Practice Address |
46900 Ocean Dr Gualala CA 95445-8353 |
| Mailing Address |
Po Box 1100 Gualala CA 95445-1100 |
| Practice Telephone | 7078844005 |
| Practice Fax Number | 7078849728 |
| Mailing Telephone | 7078844005 |
| Mailing Fax Number | 7078849728 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2013-12-24 |
| Authorized Official Name | DIANE AGEE (CEO) |
| Authorized Official Telephone | 7078849476 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
110000048 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC03906F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275778847 | Redwood Coast Medical Services, Inc. | Clinic/Center | 30 Mill Street, Point Arena, CA 95468-9902 | 2008-12-10 |
| 1366688418 | Redwood Coast Medical Services, Inc. | Clinic/Center | 175 Main Street, Point Arena, CA 95468-0000 | 2008-12-19 |
| Street Address |
46900 OCEAN DR |
| City | GUALALA |
| State | CA |
| Zip Code | 95445-8353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649279233 | Northern California Medical Assoc Inc | Internal Medicine | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2005-07-18 |
| 1558707968 | Adele Zita | Registered Nurse | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2013-05-13 |
| 1407030968 | Jefferson Nerney | Psychologist | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2007-12-19 |
| 1093833659 | Jere Alm | Physician Assistant | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2007-03-26 |
| 1164555769 | Leon Koenck | Physician Assistant | 46900 Ocean Dr, Ste 1100, Gualala, CA 95445-8353 | 2007-03-13 |
| 1952494817 | Joanne C. Brooks | Family Medicine | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2006-10-02 |
| 1346332335 | Lois Falk | Nurse Practitioner | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2006-09-28 |
| 1780776682 | Roberta U. Rams | Dentist | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2006-09-28 |
| 1851379705 | Elizabeth J Nagle | Nurse Practitioner | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2006-01-01 |
| 1316937931 | Mark Kal | Family Medicine | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2005-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205453586 | Mendocino Pharmacy Holdings Inc. | Pharmacy | 39251 South Highway 1, Gualala, CA 95445 | 2020-07-02 |
| 1922659499 | Lucinda Weaver Physical Therapy | Clinic/Center | 39120 Ocean Dr, Gualala, CA 95445 | 2019-09-25 |
| 1275858573 | James Edwin Platt | Chiropractor | 38820 Hwy. 1, Suite 108, Gualala, CA 95445 | 2010-03-30 |
| 1184862013 | Lucinda Weaver I | Physical Therapist | 39120 Ocean Dr., Gualala, CA 95445 | 2009-01-30 |
| 1902050669 | Gena Lynn Davis | Optometrist | 39150 Ocean Drive, Suite 2a, Gualala, CA 95445 | 2008-11-07 |
| 1477731032 | Carolee Brady | Marriage & Family Therapist | 38550 S Hwy 1, Gualala, CA 95445 | 2008-02-06 |
| 1053432971 | Barbara Brittell | Physician Assistant | 46900 Ocean Drive, Redwood Coast Medical Services, Gualala, CA 95445 | 2007-04-02 |
| 1174658298 | Richard T Miner | Chiropractor | 38690 Pacific Dr., Suite 3, Gualala, CA 95445 | 2007-02-22 |
| 1104962638 | Robert Arnold Nelson | Ophthalmology | 30150 So Hwy One, Gualala, CA 95445 | 2007-01-30 |
| 1982808119 | Allen B. Cox Jr. | Dentist | 38460 S. Highway One, Gualala, CA 95445-1199 | 2007-06-12 |
| Find all providers in zip 95445 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.