Healthcare Provider Details

I. General information

NPI: 1437457132
Provider Name (Legal Business Name): OUTER CAPE HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2011
Last Update Date: 09/15/2023
Certification Date: 09/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 STATE HIGHWAY, ROUTE 6, UNIT #3
WELLFLEET MA
02667
US

IV. Provider business mailing address

2700 STATE HIGHWAY, ROUTE 6, UNIT #3
WELLFLEET MA
02667
US

V. Phone/Fax

Practice location:
  • Phone: 508-214-0187
  • Fax: 508-214-0224
Mailing address:
  • Phone: 508-214-0187
  • Fax: 508-214-0224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberDS89766
License Number StateMA

VIII. Authorized Official

Name: LINA LILLIAN WINTERS
Title or Position: DIRECTOR OF REVENUE CYCLE
Credential:
Phone: 508-905-2431