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PACIFIC CENTRAL COAST HEALTH CENTERS NPI 1760896104


NPI Information

NPI: 1760896104
Provider Name: PACIFIC CENTRAL COAST HEALTH CENTERS

Doing Business As: BISHOP'S PEAK WOMEN'S HEALTH CENTER

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

Specialization: Community Health

CLIA Number: 05D2083781

Address:
1941 JOHNSON AVE
SUITE 301
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 786-4111
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PACIFIC CENTRAL COAST HEALTH CENTERS is a community health clinic center in San Luis Obispo, CA. PACIFIC CENTRAL COAST HEALTH CENTERS NPI is 1760896104. The provider is registered as an organization entity type.
The provider Is Doing Business As Bishop's Peak Women's Health Center.

The provider's business location address is:

1941 JOHNSON AVE
SUITE 301
SAN LUIS OBISPO, CA
ZIP 93401-140
Phone: (805) 786-4111
Fax: (805) 543-6357

The provider's authorized official is Matthew Richardson .
The authorized official title is Chief Financial Officer and has the following contact phone number (805) 739-3108.

The CLIA number assigned to this NPI record is 05D2083781 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/13/2014 and was last updated on 11/12/2018.


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
1261QC1500XClinic/CenterCommunity HealthYes

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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