| Organization Name: | ROCK HARBOR HEALTH LLC |
| NPI Number: | 1245626290 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN WITTER (DIR OPERATIONS) |
| Mailing Address: | 107 Rock Harbor Rd Orleans |
| State: | MA US |
| Postal Code: | 026532309 |
| Phone Number: | 5082556297 |
| Fax Number: | |
| NPI Enumeration Date: | 04/07/2015 |
| NPI Last Update Date: | 04/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |