Organization
CENTRAL COAST EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS W HALE MD (PRESIDENT)
(800) 962-3303
Entity
Organization
Contact information
Practice address
1100 LAS TABLAS RD, TEMPLETON, CA 93465-9704
(805) 434-3500
Mailing address
PO BOX 87, TEMPLETON, CA 93465-0087
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD3182
MEDICARE RAILROAD
CA
05
—
GR0012581
—
CA
Enumeration date
07/06/2006
Last updated
12/18/2020
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