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COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC NPI 1447277488


NPI Information

NPI: 1447277488
Provider Name: COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC

Other Name: COMMUNITY HEALTH CENTERS COAST MEDICAL CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
336 S HALCYON RD
ARROYO GRANDE, CA
ZIP 93420
Phone: (805) 489-3652
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COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC is a federally qualified health center (fqhc) clinic center in Arroyo Grande, CA. COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC NPI is 1447277488. The provider is registered as an organization entity type.
The provider Other Name Is Community Health Centers Coast Medical Center.

The provider's business location address is:

336 S HALCYON RD
ARROYO GRANDE, CA
ZIP 93420-898
Phone: (805) 489-3652
Fax: (805) 481-1017

The provider's authorized official is Ronald E Castle .
The authorized official title is Chief Executive Officer and has the following contact phone number (805) 929-3211.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 10/30/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ52117ZOTHERCALIFORNIABLUE SHIELD
2FHC70593FMEDICAIDCALIFORNIA
3W1508AMEDICARE PINCALIFORNIA
4BCP70593FOTHERCALIFORNIACANCER DETECTION PROGRAM
5HAP70593FOTHERCALIFORNIAFAMILY PLANNING
6551903MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

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: 11/14/2023

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