Provider Demographics
NPI:1982089199
Name:CAPE COD & ISLANDS COMMUNITY HEALTH CENTER
Entity type:Organization
Organization Name:CAPE COD & ISLANDS COMMUNITY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SITE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOCHIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-564-9626
Mailing Address - Street 1:181 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-3846
Mailing Address - Country:US
Mailing Address - Phone:508-957-0955
Mailing Address - Fax:
Practice Address - Street 1:181 NORTH ST
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-3846
Practice Address - Country:US
Practice Address - Phone:508-957-0955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-29
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA117016305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization