Organization
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC
Active
Other names
Community Health Centers Mobile Dental Van 3
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD E CASTLE (CHIEF EXECUTIVE OFFICER)
(805) 361-8014
Entity
Organization
Contact information
Practice address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8014
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8014
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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