Organization · Type 2 NPI

Community Health Centers of the Central Coast Inc

Federally Qualified Health Center (FQHC) · Guadalupe, CA

NPI number 1376560151 Active

Practice location

4723 W Main St Ste H
Guadalupe, CA 93434-1787

Call (805) 343-5577 Map

Fax (805) 343-5578

Mailing address

2050 S Blosser Rd
Santa Maria, CA 93458-7310

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

8 other providers at this address

NPI record

NPI: 1376560151
Entity type: Organization (Type 2)
Issued: Jul 16, 2006
Last updated: Jan 21, 2019
Status: Active

Other names

<unavail>
Community Health Centers Guadalupe · other name
Community Health Centers Guadalupe · other name

Authorized official

Ronald E Castle
Chief Executive Officer
(805) 346-3905

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376560151

Community Health Centers of the Central Coast Inc's National Provider Identifier is 1376560151, issued on Jul 16, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Guadalupe, CA. The record was last updated on Jan 21, 2019.