Organization · Type 2 NPI

Community Health Centers of the Central Coast, Inc

Community Health Clinic/Center · San Luis Obispo, CA

NPI number 1629377452 Active

Practice location

77 Casa St Ste 201
San Luis Obispo, CA 93405-5806

Call (805) 269-1500 Map

Fax (805) 269-1585

Mailing address

2050 S Blosser Rd
Santa Maria, CA 93458-7310

Specialties and licenses

Taxonomy	Code	License
Community Health Clinic/Center Primary	261QC1500X	None listed

Community Health Clinic/Center: Definition to come...

4 other providers at this address

Other community health clinic/center providers in San Luis Obispo

See all in San Luis Obispo →

NPI record

NPI: 1629377452
Entity type: Organization (Type 2)
Issued: Mar 18, 2011
Last updated: Jan 21, 2019
Status: Active

Other names

<unavail>
Community Health Centers-Casa · doing business as
Community Health Centers-Casa · doing business as

Authorized official

Mr. Ronald E Castle
Chief Executive Officer
(805) 929-3211

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.

Is this your record? How to update it.

About NPI 1629377452

Community Health Centers of the Central Coast, Inc's National Provider Identifier is 1629377452, issued on Mar 18, 2011. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jan 21, 2019.