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Organization

COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST

Active
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Organization

COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST

Active
Other names
Community Health Ctr Santa Maria III
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
1414 S MILLER ST, SUITE 8, SANTA MARIA, CA 93454-6923
(805) 345-3702
(805) 345-3795
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8028
(805) 361-8097

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550000721
CA

Other

Enumeration date
07/23/2009
Last updated
01/21/2019
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