Organization
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.
Active
Organization
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.
Active
Other names
Comm Hlth Ctrs North County Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD E CASTLE (CHIEF EXECUTIVE OFFICER)
(805) 929-3211
Entity
Organization
Contact information
Practice address
500 FIRST ST, PASO ROBLES, CA 93446-3742
(805) 239-4222
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
05
—
1548462310
—
CA
05
—
1841217866
—
CA
05
—
FHC71030F
—
CA
Enumeration date
10/24/2007
Last updated
11/18/2009
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