| Organization Name: | OUTER CAPE HEALTH SERVICES, INC |
| NPI Number: | 1588829014 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SALLY DEANE (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 49 Harry Kemp Way Provincetown |
| State: | MA US |
| Postal Code: | 026571618 |
| Phone Number: | 5084879395 |
| Fax Number: | 5084873285 |
| NPI Enumeration Date: | 07/24/2008 |
| NPI Last Update Date: | 06/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 4963 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |