Provider Demographics
NPI:1437457132
Name:OUTER CAPE HEALTH SERVICES INC
Entity Type:Organization
Organization Name:OUTER CAPE HEALTH SERVICES INC
Other - Org Name:OUTER CAPE HEALTH SERVICES PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:LINA
Authorized Official - Middle Name:LILLIAN
Authorized Official - Last Name:WINTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-905-2431
Mailing Address - Street 1:2700 STATE HIGHWAY, ROUTE 6, UNIT #3
Mailing Address - Street 2:
Mailing Address - City:WELLFLEET
Mailing Address - State:MA
Mailing Address - Zip Code:02667
Mailing Address - Country:US
Mailing Address - Phone:508-214-0187
Mailing Address - Fax:508-214-0224
Practice Address - Street 1:2700 STATE HIGHWAY, ROUTE 6, UNIT #3
Practice Address - Street 2:
Practice Address - City:WELLFLEET
Practice Address - State:MA
Practice Address - Zip Code:02667
Practice Address - Country:US
Practice Address - Phone:508-214-0187
Practice Address - Fax:508-214-0224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADS897663336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2129432OtherPK