| Community Health Centers Of The Central Coast Inc | |
|
2120 Cienaga Oceano CA 93445-9029 | |
| (805) 994-2100 | |
| (805) 994-2197 |
| Full Name | Community Health Centers Of The Central Coast Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2120 Cienaga, Oceano, California |
| Authorized Official Name and Position | Barbara Allen (BUSINESS OFFICE MANGER) |
| Authorized Official Contact | 8053618014 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Centers Of The Central Coast Inc 2050 S Blosser Rd Santa Maria CA 93458-7310 Ph: (805) 361-8014 | Community Health Centers Of The Central Coast Inc 2120 Cienaga Oceano CA 93445-9029 Ph: (805) 994-2100 |
| NPI Number | 1417480294 |
|---|---|
| Provider Enumeration Date | 04/07/2017 |
| Last Update Date | 01/23/2019 |
| Medicare PECOS PAC ID | 7416868120 |
|---|---|
| Medicare Enrollment ID | O20170912003291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417480294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Community Health Centers Of The Central Coast Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1981 Cienaga St, Oceano, CA 93445 Phone: 805-270-0025 Fax: 805-270-0030 |