# COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Health Centers-Casa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629377452
- **Authorized official:** MR. RONALD E CASTLE (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (805) 929-3211

## Contact information

- **Practice address:** 77 CASA ST STE 201, SAN LUIS OBISPO, CA 93405-5806
- **Practice address phone:** (805) 269-1500
- **Practice address fax:** (805) 269-1585
- **Mailing address:** 2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
- **Mailing address phone:** (805) 361-8028
- **Mailing address fax:** (805) 361-8097

## Taxonomy

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

## Other

- **Enumeration date:** 03/18/2011
- **Last updated:** 01/21/2019