Community Health Centers Of The Central Coast Inc in Nipomo - Federally Qualified Health Center (fqhc)

Community Health Centers Of The Central Coast Inc - NPI 1851417703

Community Health Centers Of The Central Coast Inc is a Federally Qualified Health Center (fqhc) in Nipomo, 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 1851417703. The last update date is 2009-02-27.

Community Health Centers Of The Central Coast Inc's current location address is 150 Tejas Pl, Nipomo, California. You can contact this provider via phone number 8059293211 and fax number 8059296440. The mailing address for Community Health Centers Of The Central Coast Inc is 150 Tejas Pl, Nipomo, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Community Health Centers Of The Central Coast Inc
Address 150 Tejas Pl, Nipomo, California
Phone Number 8059293211
Fax Number 8059296440
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF EXEC
Authorized Official Name Castle E Ronald
Telephone Number 8059293211

NPI Number Detail

NPI Number 1851417703
Provider Enumeration Date 2007-03-22
Last Updated Date 2009-02-27

Provider Mailing Address Detail

Address 150 Tejas Pl
City Nipomo
State California (CA)
Post Code 934449123
Phone Number 8059293211
Fax Number 8059296440

Provider's Primary Taxonomy Detail

Speciality Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Licence No 550000402
Definition:
Provides primary and preventive care services in underserved areas, receiving certain federal funding grants.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CMM71166F CA --
W150B CA PTAN GROUP #
ZZZ69714Z CA BLUE SHIELD

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FAQs about Community Health Centers Of The Central Coast Inc

What is the unique 10-digit identification code assigned to Community Health Centers Of The Central Coast Inc by the Centers for Medicare & Medicaid Services?

The Community Health Centers Of The Central Coast Inc has been issued the NPI (National Provider Identifier) 1851417703, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Community Health Centers Of The Central Coast Inc's physical address?

The Community Health Centers Of The Central Coast Inc is physically located at 150 Tejas Pl, in the city of Nipomo, CA, with the postal code 934449123.

What is Community Health Centers Of The Central Coast Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Community Health Centers Of The Central Coast Inc is Federally Qualified Health Center (fqhc), and the taxonomy code that categorizes this field of expertise is 261Qf0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1851417703 to Community Health Centers Of The Central Coast Inc?

The Centers for Medicare & Medicaid Services assigned the 1851417703 to Community Health Centers Of The Central Coast Inc on 2007-03-22.

When was the information related to Community Health Centers Of The Central Coast Inc most recently updated or refreshed?

The details pertaining to the Community Health Centers Of The Central Coast Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-02-27.

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