| Community Health Centers Of The Central Coast, Inc | |
|
150 Tejas Pl Nipomo CA 93444-9123 | |
| (805) 270-1807 | |
| (805) 270-1820 |
| Full Name | Community Health Centers Of The Central Coast, Inc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 150 Tejas Pl, Nipomo, California |
| Authorized Official Name and Position | Barbara A Allen (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 8053618014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 150 Tejas Pl Nipomo CA 93444-9123 Ph: (805) 270-1807 |
| NPI Number | 1952390254 |
|---|---|
| Provider Enumeration Date | 10/19/2005 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952390254 | NPI | - | NPPES |
| PHA46798 | Medicaid | CA | |
| PHY46798 | Other | CA | STATE RX LICENSE NUMBER |
| 5613624 | Other | CA | NCPDP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | PHY46798 (California) | Secondary |
| 261QC1500X | Clinic/center - Community Health | (California) | Primary |
Pacific Central Coast Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1560 Mesa Rd, Ste 100, Nipomo, CA 93444 Phone: 805-739-3981 Fax: 805-739-3981 | |
Pacific Central Coast Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 697 W Tefft St, Nipomo, CA 93444 Phone: 805-929-2272 Fax: 805-929-6405 | |
County Of San Luis Obispo Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 N Thompson Ave, Nipomo, CA 93444 Phone: 805-781-4753 Fax: 805-781-1227 | |
Community Health Centers Of The Central Coast Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 Tejas Pl, Nipomo, CA 93444 Phone: 805-929-3211 Fax: 805-929-6359 |