institution
Community Health Centers Of The Central Coast Inc
Federally Qualified Health Center (FQHC) in Santa Maria, California
NPI 1851417703

Community Health Centers Of The Central Coast Inc is a Federally Qualified Health Center (FQHC) based in Nipomo, CA and is specialized in Federally Qualified Health Center (FQHC). Community Health Centers Of The Central Coast Inc practices in Santa Maria, CA. The NPI Number for Community Health Centers Of The Central Coast Inc is 1851417703 and holds a License No. 550000402 (California).

The current practice location address for Community Health Centers Of The Central Coast Inc is 1835 N Broadway, Santa Maria, CA and can be reached out via phone at 805-346-2753 and via fax at 805-922-2479.

Location: 1835 N Broadway, Santa Maria, CA, 93444-9123
institution
Provider Profile Details
NPI Number
1851417703
Provider Name
Community Health Centers Of The Central Coast Inc
Credential
Provider Entity Type
Organization
Address
1835 N Broadway, Santa Maria, CA, 93444-9123
Phone Number
805-346-2753
Fax Number
805-922-2479
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ69714Z 01 CA BLUE SHIELD
CMM71166F 05 CA
W150B 01 CA PTAN GROUP #
institution
Provider Business Practice Location Address Details
Address
1835 N Broadway
City
State
Zip
93454-1404
Phone Number
805-346-2753
Fax Number
805-922-2479
person
Provider Business Mailing Address Details
Address
1835 N Broadway
City
State
Zip
93454-1404
Phone Number
805-346-2753
Fax Number
805-922-2479
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
550000402 (California)
Definition
Definition to come...
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