| Organization Name: | COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC |
| NPI Number: | 1073533089 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RONALD E CASTLE (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 7512 Morro Rd Atascadero |
| State: | CA US |
| Postal Code: | 934224404 |
| Phone Number: | 8057921400 |
| Fax Number: | 8057921485 |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 10/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |