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CENTRAL COAST URGENT CARE INC NPI 1427372226


NPI Information

NPI: 1427372226
Provider Name: CENTRAL COAST URGENT CARE INC

Doing Business As: URGENT CARE OF MORRO BAY

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 05D2042073

Address:
783 QUINTANA RD
MORRO BAY, CA
ZIP 93442
Phone: (805) 771-0108
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CENTRAL COAST URGENT CARE INC is an urgent care clinic center in Morro Bay, CA. CENTRAL COAST URGENT CARE INC NPI is 1427372226. The provider is registered as an organization entity type.
The provider Is Doing Business As Urgent Care Of Morro Bay.

The provider's business location address is:

783 QUINTANA RD
MORRO BAY, CA
ZIP 93442-966
Phone: (805) 771-0108
Fax: (805) 771-0111

The provider's authorized official is Eric N Sorensen .
The authorized official title is President and has the following contact phone number (805) 771-0108.

The CLIA number assigned to this NPI record is 05D2042073 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2010 and was last updated on 3/29/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareA34991CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A34991OTHERCALIFORNIAMEDICAL BOARD OF CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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