Provider Demographics
NPI:1366039760
Name:WEST COAST HEALTH
Entity Type:Organization
Organization Name:WEST COAST HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:REESE
Authorized Official - Suffix:
Authorized Official - Credentials:CASE MANAGEMENT
Authorized Official - Phone:440-823-6449
Mailing Address - Street 1:28405 OSBORN RD BAY VILLAGE
Mailing Address - Street 2:
Mailing Address - City:BAY VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44140-2052
Mailing Address - Country:US
Mailing Address - Phone:216-410-1777
Mailing Address - Fax:
Practice Address - Street 1:28405 OSBORN RD BAY VILLAGE
Practice Address - Street 2:
Practice Address - City:BAY VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44140-2052
Practice Address - Country:US
Practice Address - Phone:216-410-1777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-31
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management