| Organization Name: | NORTH COAST PROFESSIONAL COMPANY, LLC |
| NPI Number: | 1073877551 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANIS A SHRIVER (EXECUTIVE DIRECTOR) |
| Mailing Address: | 2500 W Strub Rd Suite 120 Sandusky |
| State: | OH US |
| Postal Code: | 448705390 |
| Phone Number: | 4195576490 |
| Fax Number: | 4195025912 |
| NPI Enumeration Date: | 06/28/2012 |
| NPI Last Update Date: | 06/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |