COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC (NPI# 1417480294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417480294 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC |
| Other Organization Name | COMMUNITY HEALTH CENTERS OCEANO DEL MAR |
| Practice Address |
2120 Cienaga Oceano CA 93445-9029 |
| Mailing Address |
2050 S Blosser Rd Santa Maria CA 93458-7310 |
| Practice Telephone | 8059942100 |
| Practice Fax Number | 8059942197 |
| Mailing Telephone | 8053618014 |
| Mailing Fax Number | 8053618097 |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2019-01-23 |
| Authorized Official Name | BARBARA ALLEN (BUSINESS OFFICE MANGER) |
| Authorized Official Telephone | 8053618014 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Community Health Centers Oceano Del Mar | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462102 | Community Health Centers of The Central Coast Inc | Clinic/Center | 2800 Riverside Ave Ste 101, Paso Robles, CA 93446-1312 | 2019-08-14 |
| 1871010280 | Community Health Centers of The Central Coast Inc | Clinic/Center | 1205 E Grand Ave Ste H, Arroyo Grande, CA 93420-2419 | 2017-08-25 |
| 1447798061 | Community Health Centers of The Central Coast Inc | Clinic/Center | 2050 S Blosser Rd, Santa Maria, CA 93458-7310 | 2017-02-02 |
| 1770946840 | Community Health Centers of The Central Coast Inc | Clinic/Center | 429 Leslie St, Los Alamos, CA 93440 | 2016-04-05 |
| 1851417703 | Community Health Centers of The Central Coast Inc | Clinic/Center | 201 W Mill St, Santa Maria, CA 93458-4327 | 2007-03-22 |
| 1841217882 | Community Health Centers of The Central Coast Inc | Clinic/Center | 660 Harbor St, Morro Bay, CA 93442-1906 | 2006-07-16 |
| 1336166248 | Community Health Centers of The Central Coast Inc | Clinic/Center | 1981 Cienaga St, Oceano, CA 93445-9029 | 2006-07-16 |
| 1376560151 | Community Health Centers of The Central Coast Inc | Clinic/Center | 4723 W Main St Ste H, Guadalupe, CA 93434-1787 | 2006-07-16 |
| 1124045042 | Community Health Centers of The Central Coast Inc | Clinic/Center | 416 Spring St Ste 201, Paso Robles, CA 93446-3155 | 2006-07-16 |
| 1295198356 | Community Health Centers of The Central Coast Inc | Clinic/Center | 1385 Mission St, San Miguel, CA 93451 | 2016-04-05 |
| Street Address |
2120 CIENAGA |
| City | OCEANO |
| State | CA |
| Zip Code | 93445-9029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679976104 | County of San Luis Obispo | Community/Behavioral Health | 1511 19th St, Oceano, CA 93445 | 2014-09-29 |
| 1952611477 | Sierra Rae Overton | Counselor | 1743 Rochelle Way, Oceano, CA 93445 | 2010-10-18 |
| 1285772277 | Rebecca P Duffy | Marriage & Family Therapist | 1511 19th St., Oceano, CA 93445 | 2007-02-02 |
| 1083768881 | Tina C Mccreary | Student in an Organized Health Care Education/Training Program | 1511 19th Street, Oceano, CA 93445 | 2007-01-22 |
| 1215188289 | Laura Ann Raynor | Marriage & Family Therapist | 1511 19th St., Oceano, CA 93445 | 2008-10-08 |
| 1851651749 | Kristyn Lauren Moore | Registered Nurse | 2700 Cienaga St Spc 55, Oceano, CA 93445-8975 | 2012-05-24 |
| 1225021777 | Ethan Roy Etnyre | Family Medicine | 2120 Cienaga St, Oceano, CA 93445-9016 | 2005-08-30 |
| 1780204388 | Maribel Ramirez | Dental Hygienist | 2120 Cienaga St, Oceano, CA 93445-9016 | 2020-04-23 |
| 1336459387 | Nubia Daguia | Nurse Practitioner | 2120 Cienaga St, Oceano, CA 93445-9016 | 2010-10-08 |
| 1790800381 | Lisa Cynthia Jimenez | Social Worker | 2120 Cienaga St, Oceano, CA 93445-9016 | 2007-03-20 |
| Find all providers in zip 93445 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336166248 | Community Health Centers of The Central Coast Inc | Clinic/Center | 1981 Cienaga St, Oceano, CA 93445-9029 | 2006-07-16 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.