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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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