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 Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA A ALLEN (BUSINESS OFFICE MANAGER)
(805) 361-8014
Entity
Organization
Contact information
Practice address
150 TEJAS PL, NIPOMO, CA 93444-9123
(805) 270-1807
(805) 270-1820
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8014
(805) 361-8097
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
PHY46798
CA
261QC1500X
Community Health Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5613624
NCPDP NUMBER
CA
05
—
PHA46798
—
CA
01
—
PHY46798
STATE RX LICENSE NUMBER
CA
Enumeration date
10/19/2005
Last updated
03/07/2023
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