Healthcare Provider Details
I. General information
NPI: 1093633901
Provider Name (Legal Business Name): OUTER CAPE HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
204 MAIN ST
ORLEANS MA
02653-3428
US
IV. Provider business mailing address
PO BOX 2796
ORLEANS MA
02653-6796
US
V. Phone/Fax
- Phone: 508-432-1400
- Fax: 508-487-6298
- Phone: 508-432-1400
- Fax: 508-487-6298
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QF0400X |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAMIAN
K.
ARCHER
Title or Position: CEO
Credential: MD
Phone: 508-432-1400