Organization
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC
Active
Other names
Nipomo Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA ALLEN (BUSINESS OFFICE MANAGER)
(805) 361-8014
Entity
Organization
Contact information
Practice address
150 TEJAS PL, NIPOMO, CA 93444-9123
(805) 929-3211
(805) 929-6359
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8014
(805) 361-8097
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/16/2006
Last updated
01/23/2019
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