| Organization Name: | PACIFIC CENTRAL COAST HEALTH CENTERS |
| NPI Number: | 1225428600 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUE ANDERSEN (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 265 Posada Ln Suite B Templeton |
| State: | CA US |
| Postal Code: | 934654056 |
| Phone Number: | 8054340900 |
| Fax Number: | 8054349260 |
| NPI Enumeration Date: | 01/23/2015 |
| NPI Last Update Date: | 03/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |