COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC NPI 1841217882

NPI Information

NPI: 1841217882
Provider Name: COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC

Other Name: COMMUNITY HEALTH CENTERS MORRO BAY

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
660 HARBOR ST
MORRO BAY, CA
ZIP 93442
Phone: (805) 771-8489
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COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC is a federally qualified health center (fqhc) clinic center in Morro Bay, CA. COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC NPI is 1841217882. The provider is registered as an organization entity type.
The provider Other Name Is Community Health Centers Morro Bay.

The provider's business location address is:

660 HARBOR ST
MORRO BAY, CA
ZIP 93442-906
Phone: (805) 771-8489
Fax: (805) 771-8494

The provider's authorized official is Ronald E Castle .
The authorized official title is CHIEF EXECUTIVE OFFICERExecutive 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 1/17/2008.

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
1	261QF0400X	Clinic/Center	Federally 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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	BCP71032F	OTHER	CALIFORNIA	CANCER DETECTION PROGRAM
2	W1508D	MEDICARE PIN	CALIFORNIA
3	ZZZ09363Z	OTHER	CALIFORNIA	BLUE SHIELD OF CALIFORNIA
4	HAP71032F	OTHER	CALIFORNIA	FAMILY PLANNING
5	FHC71032F	MEDICAID	CALIFORNIA
6	551977	MEDICARE OSCAR/CERTIFICATION	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

NPI Synchronization or Removal

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