Organization
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC
Active
Other names
Community Health Centers Guadalupe
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD E CASTLE (CHIEF EXECUTIVE OFFICER)
(805) 346-3905
Entity
Organization
Contact information
Practice address
4723 W MAIN ST STE H, GUADALUPE, CA 93434-1787
(805) 343-5577
(805) 343-5578
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8028
(805) 361-8097
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/16/2006
Last updated
01/21/2019
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