Community Health Centers Of The Central Coast Inc in San Luis Obispo - Federally Qualified Health Center (fqhc)
Community Health Centers Of The Central Coast Inc - NPI 1124045158
Community Health Centers Of The Central Coast Inc is a Federally Qualified Health Center (fqhc) in San Luis Obispo, California. Community Health Centers Of The Central Coast Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Community Health Centers Of The Central Coast Inc is 1124045158. The last update date is 2019-01-21.
Community Health Centers Of The Central Coast Inc's current location address is 1551 Bishop St, San Luis Obispo, California. You can contact this provider via phone number 8055490402 and fax number 8055490465. The mailing address for Community Health Centers Of The Central Coast Inc is 1551 Bishop St, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Health Centers Of The Central Coast Inc |
|---|---|
| Address | 1551 Bishop St, San Luis Obispo, California |
| Phone Number | 8055490402 |
| Fax Number | 8055490465 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Castle E Ronald |
| Telephone Number | 8053618014 |
NPI Number Detail
| NPI Number | 1124045158 |
|---|---|
| Provider Enumeration Date | 2006-07-16 |
| Last Updated Date | 2019-01-21 |
Provider Mailing Address Detail
| Address | 1551 Bishop St |
|---|---|
| City | San Luis Obispo |
| State | California (CA) |
| Post Code | 934014635 |
| Phone Number | 8055490402 |
| Fax Number | 8055490465 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
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Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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What is the Community Health Centers Of The Central Coast Inc's 1124045158?
The Community Health Centers Of The Central Coast Inc's NPI (National Provider Identifier) Number is 1124045158. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Community Health Centers Of The Central Coast Inc?
The Community Health Centers Of The Central Coast Inc is situated at 1551 Bishop St, in the city of San Luis Obispo, state of CA, with the zip code 934014635.
What is Community Health Centers Of The Central Coast Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Community Health Centers Of The Central Coast Inc's area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124045158 to Community Health Centers Of The Central Coast Inc?
The Community Health Centers Of The Central Coast Inc received its 1124045158 assignment from the Centers for Medicare & Medicaid Services on 2006-07-16.
As of what date were the Community Health Centers Of The Central Coast Inc's details last updated?
The information pertaining to the Community Health Centers Of The Central Coast Inc, including its address, specialty, and other details, was most recently updated on 2019-01-21.