Organization
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.
Active
Other names
CommHlthCntrs,Women's Health Atascadero
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD E CASTLE (CHIEF EXECUTIVE OFFICER)
(805) 929-3211
Entity
Organization
Contact information
Practice address
4555 EL CAMINO REAL, ATASCADERO, CA 93422-2700
(805) 466-9001
Mailing address
150 TEJAS PL, PO BOX 430, NIPOMO, CA 93444-9123
(805) 929-3211
(805) 929-6440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC71030F
—
CA
Enumeration date
10/05/2007
Last updated
10/05/2007
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