Organization
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC
Active
Other names
Community Health Centers Coast Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD E CASTLE (CHIEF EXECUTIVE OFFICER)
(805) 929-3211
Entity
Organization
Contact information
Practice address
336 S HALCYON RD, ARROYO GRANDE, CA 93420-3898
(805) 489-3652
(805) 481-1017
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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP70593F
CANCER DETECTION PROGRAM
CA
05
—
FHC70593F
—
CA
01
—
HAP70593F
FAMILY PLANNING
CA
01
—
ZZZ52117Z
BLUE SHIELD
CA
Enumeration date
07/16/2006
Last updated
10/30/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us