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COMMUNITY HEATLH CENTERS OF THE CENTRAL COAST NPI 1609865864


NPI Information

NPI: 1609865864
Provider Name: COMMUNITY HEATLH CENTERS OF THE CENTRAL COAST

Doing Business As: CHC PHARMACY ATASCADERO

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 05D2178991

Address:
5575 CAPISTRANO AVE
ATASCADERO, CA
ZIP 93422
Phone: (805) 792-1422
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COMMUNITY HEATLH CENTERS OF THE CENTRAL COAST is a community health clinic center in Atascadero, CA. COMMUNITY HEATLH CENTERS OF THE CENTRAL COAST NPI is 1609865864. The provider is registered as an organization entity type.
The provider Is Doing Business As Chc Pharmacy Atascadero.

The provider's business location address is:

5575 CAPISTRANO AVE
ATASCADERO, CA
ZIP 93422-264
Phone: (805) 792-1422
Fax: (805) 792-1488

The provider's authorized official is J Chris Mitsuoka .
The authorized official title is Director Of Pharmacy and has the following contact phone number (805) 269-1326.

The CLIA number assigned to this NPI record is 05D2178991 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/19/2005 and was last updated on 3/7/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QC1500XClinic/CenterCommunity HealthPHY 46797CALIFORNIAYes

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
1PHA467970MEDICAIDCALIFORNIA
2PHY46797OTHERCALIFORNIAPHARMACY LICENSE #
35613612OTHERCALIFORNIANCPDP NUMBER

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.