# COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC

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

## Provider details

- **NPI number:** 1952390254
- **Authorized official:** BARBARA A ALLEN (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (805) 361-8014

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 10/19/2005
- **Last updated:** 03/07/2023