Organization
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST,INC
Active
Other names
Community Health Centers,Morro Bay II
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD E CASTLE (CHIEF EXECUTIVE OFFICER)
(805) 929-3211
Entity
Organization
Contact information
Practice address
760 MORRO BAY BLVD, MORRO BAY, CA 93442-1918
(805) 600-6001
(805) 600-6005
Mailing address
150 TEJAS PL, NIPOMO, CA 93444-9123
(805) 929-3211
(805) 929-6440
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM71167F
—
CA
Enumeration date
03/22/2007
Last updated
09/21/2007
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