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Organization

COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC

Active
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Organization

COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC

Active
Other names
Community Health Centers Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
BARBARA A ALLEN (BUSINESS OFFICE MANAGER)
(805) 361-8014
Entity
Organization

Contact information

Practice address
150 TEJAS PL, NIPOMO, CA 93444-9123
(805) 270-1807
(805) 270-1820
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8014
(805) 361-8097

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
PHY46798
CA
261QC1500X
Community Health Clinic/Center
Primary
—
CA

Other

Enumeration date
10/19/2005
Last updated
03/07/2023
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