# PACIFIC CENTRAL COAST HEALTH CENTERS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PACIFIC CENTRAL COAST HEALTH CENTERS
- **Other names:** Coastal Valley Health Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225307317
- **Legal business name:** PACIFIC CENTRAL COAST HEALTH CENTERS
- **Authorized official:** MATTHEW RICHARDSON (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (805) 739-3108

## Contact information

- **Practice address:** 1510 E MAIN ST, SUITE 104-C, SANTA MARIA, CA 93454-4825
- **Practice address phone:** (805) 349-8514
- **Practice address fax:** (805) 614-0223
- **Mailing address:** 117 W BUNNY AVE, SANTA MARIA, CA 93458-2805
- **Mailing address phone:** (805) 349-8514
- **Mailing address fax:** (805) 349-8958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/20/2011
- **Last updated:** 11/12/2018