Organization
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC
Active
Other names
Community Health Centers-Casa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD E CASTLE (CHIEF EXECUTIVE OFFICER)
(805) 929-3211
Entity
Organization
Contact information
Practice address
77 CASA ST STE 201, SAN LUIS OBISPO, CA 93405-5806
(805) 269-1500
(805) 269-1585
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8028
(805) 361-8097
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2011
Last updated
01/21/2019
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