| Community Health Centers Womens Health | |
|
1551 Bishop St Suite 240 San Luis Obispo CA 93401-4635 | |
| (805) 549-0402 | |
| (805) 549-0465 |
| Full Name | Community Health Centers Womens Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1551 Bishop St, San Luis Obispo, California |
| Authorized Official Name and Position | Ronald E Castle (CHIEF EXECUTIVE OFFICER) |
| 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 Womens Health 2050 S Blosser Rd Santa Maria CA 93458-7310 Ph: (805) 361-8028 | Community Health Centers Womens Health 1551 Bishop St Suite 240 San Luis Obispo CA 93401-4635 Ph: (805) 549-0402 |
| NPI Number | 1124045158 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 01/21/2019 |
| Medicare PECOS PAC ID | 7416868120 |
|---|---|
| Medicare Enrollment ID | O20040714001597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124045158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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