Organization
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST,INC
Active
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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