COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC (NPI# 1508105008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508105008 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC |
| Other Organization Name | COMMUNITY HEALTH CENTERS NEW CUYAMA |
| Practice Address |
4711 Highway 166 New Cuyama CA 93254-0000 |
| Mailing Address |
2050 S Blosser Rd Santa Maria CA 93458-7310 |
| Practice Telephone | 6617662149 |
| Practice Fax Number | 6617662350 |
| Mailing Telephone | 8053618014 |
| Mailing Fax Number | 8053618097 |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2019-01-23 |
| Authorized Official Name | BARBARA ALLEN (BUSINESS OFFICE MANAGER) |
| 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 New Cuyama | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861791378 | Community Health Centers of The Central Coast, Inc | Clinic/Center | 210 N Broadway, Santa Maria, CA 93454-4415 | 2011-03-23 |
| 1952390254 | Community Health Centers of The Central Coast, Inc | Clinic/Center | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2005-10-19 |
| 1891118147 | Community Health Centers of The Central Coast, Inc | Clinic/Center | 210 S Palisade Dr, Suite 102, Santa Maria, CA 93454-8901 | 2014-01-22 |
| 1952600462 | Community Health Centers of The Central Coast, Inc | Clinic/Center | 495 Valley Rd, Arroyo Grande, CA 93420-3928 | 2011-03-23 |
| 1598064008 | Community Health Centers of The Central Coast, Inc | Clinic/Center | 260 Station Way, Arroyo Grande, CA 93420-3359 | 2011-03-23 |
| 1629377452 | Community Health Centers of The Central Coast, Inc | Clinic/Center | 77 Casa St Ste 201, San Luis Obispo, CA 93405-5806 | 2011-03-18 |
| 1275550295 | Community Health Centers of The Central Coast, Inc | Clinic/Center | 325 Posada Ln, Templeton, CA 93465-4003 | 2006-07-16 |
| Street Address |
4711 HIGHWAY 166 |
| City | NEW CUYAMA |
| State | CA |
| Zip Code | 93254-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467544775 | Santa Barbara County County Auditor | Clinic/Center | 4711 Highway 166, New Cuyama, CA 93254 | 2006-09-28 |
| 1285037614 | Heather Bosma | Licensed Practical Nurse | 4711 Highway 166, New Cuyama, CA 93254 | 2014-09-30 |
| 1245506195 | Starchild Weivoda | Family Medicine | 4711 Highway 166, New Cuyama, CA 93254 | 2012-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922522754 | Cac Cuyama Center | Counselor | 2300 Ca-166, New Cuyama, CA 93254 | 2017-08-02 |
| 1093186462 | Josie Carroway | Counselor | 2551 A Kennedy, Lemoore, CA 93254 | 2015-10-12 |
| 1396800371 | Santa Barbara County Public Health Dept | Clinic/Center | 4711 Hwy 166, New Cuyama, CA 93254 | 2006-12-27 |
| 1013074475 | Santa Barbara County Public Health Dept | Clinic/Center | 4711 Hwy 166, New Cuyama, CA 93254 | 2007-01-03 |
| 1689731689 | Santa Barbara County Public Health Dept | Clinic/Center | 4711 Hwy 166, New Cuyama, CA 93254 | 2007-01-02 |
| 1073679429 | Santa Barbara County Public Health Dept | Clinic/Center | 4711 Hwy 166, Cuyama, CA 93254 | 2006-12-29 |
| 1891851663 | Santa Barbara County Public Health Dept | Clinic/Center | 4711 Hwy 166, Cuyama, CA 93254 | 2006-12-28 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | NEW CUYAMA |
| Zip Code | 93254 |
Please comment or provide details below to improve the information on COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.
| 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.