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Organization

COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC

Active
Other names
Community Health Centers Morro bay
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD E CASTLE (CHIEF EXECUTIVE OFFICER)
(805) 929-3211
Entity
Organization

Contact information

Practice address
660 HARBOR ST, MORRO BAY, CA 93442-1906
(805) 771-8489
(805) 771-8494
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
01
BCP71032F
CANCER DETECTION PROGRAM
CA
05
FHC71032F
CA
01
HAP71032F
FAMILY PLANNING
CA
01
ZZZ09363Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
07/16/2006
Last updated
01/17/2008
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