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PACIFIC CENTRAL COAST HEALTH CENTERS NPI 1871830810


NPI Information

NPI: 1871830810
Provider Name: PACIFIC CENTRAL COAST HEALTH CENTERS

Doing Business As: MEDICAL CLINIC AT PEACH - NORTH

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

Specialization: Community Health

Address:
1250 PEACH ST STE B
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 543-4043
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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 1871830810. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical Clinic At Peach - North.

The provider's business location address is:

1250 PEACH ST STE B
SAN LUIS OBISPO, CA
ZIP 93401-869
Phone: (805) 543-4043
Fax: (805) 549-0444

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 enumeration date for this NPI number is 1/10/2013 and was last updated on 3/19/2019.


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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