COMMUNITY HEALTH CENTER OF THE CENTRAL COAST INC (NPI# 1629595038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629595038 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTER OF THE CENTRAL COAST INC |
| Other Organization Name | COMMUNITY HEALTH CENTERS ADVANCED WOMEN'S HEALTH |
| Practice Address |
1510 E Main St Ste 104 Santa Maria CA 93454-4826 |
| Mailing Address |
2050 S Blosser Rd Santa Maria CA 93458-7310 |
| Practice Telephone | 8053618014 |
| Mailing Telephone | 8053618014 |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |
| Authorized Official Name | RONALD E CASTLE (CHIEF EXECUTIVE OFFICER) |
| 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 Advanced Women's Health | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356368138 | Community Health Center of The Central Coast Inc | Clinic/Center | 829 S Lincoln St, Space 908, Santa Maria, CA 93458-6112 | 2006-07-16 |
| 1902323314 | Community Health Center of The Central Coast Inc | Clinic/Center | 1304 S Miller St, Santa Maria, CA 93454-6904 | 2017-08-25 |
| Street Address |
1510 E MAIN ST STE 104 |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454-4826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995825 | Virgilia Elizabeth Kennedy | Counselor | 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 | 2019-01-05 |
| 1891290151 | Philbert Ramirez Pandac | Behavioral Analyst | 1016 East Maint Street, Santa Maria, CA 93454 | 2018-03-28 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| 1306357892 | Aklilu Joseph | Pharmacist | 1700 S. Bradley Rd, Santa Maria, CA 93454 | 2017-10-24 |
| 1225557267 | Eric Edward Lofstrand | Counselor | 1214 S Miller St Ste 11, Santa Maria, CA 93454 | 2017-09-11 |
| 1881112449 | Tess Wianecki | Physician Assistant | 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 | 2017-09-05 |
| 1730603705 | Cac Alvin Center | Counselor | 316 E Mcelhany Ave, Santa Maria, CA 93454 | 2017-08-01 |
| 1174045009 | Peter A. Statti Md Inc. | Pediatrics | 1414 S. Miller St. #12, Santa Maria, CA 93454 | 2017-07-12 |
| 1982143970 | Child Abuse Listening Mediation | Community/Behavioral Health | 210 E. Enos Dr., Ste. A, Santa Maria, CA 93454 | 2017-02-23 |
| 1821531344 | Maria Isabel Lara | Counselor | 210 E Enos Dr, Santa Maria, CA 93454 | 2016-12-01 |
| Find all providers in zip 93454 | ||||
| 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 |
|---|---|---|---|---|
| 1447798061 | Community Health Centers of The Central Coast Inc | Clinic/Center | 2050 S Blosser Rd, Santa Maria, CA 93458-7310 | 2017-02-02 |
| 1851417703 | Community Health Centers of The Central Coast Inc | Clinic/Center | 201 W Mill St, Santa Maria, CA 93458-4327 | 2007-03-22 |
| 1356368138 | Community Health Center of The Central Coast Inc | Clinic/Center | 829 S Lincoln St, Space 908, Santa Maria, CA 93458-6112 | 2006-07-16 |
| 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 |
| 1174859425 | Community Health Centers of The Central Coast Inc | Clinic/Center | 1418 E Main St, Suite 210, Santa Maria, CA 93454-4833 | 2009-10-21 |
| 1891925905 | Community Health Centers of The Central Coast | Clinic/Center | 1414 S Miller St, Suite 8, Santa Maria, CA 93454-6923 | 2009-07-23 |
| 1447277355 | Community Health Centers of The Central Coast Inc | Clinic/Center | 2801 Santa Maria Way, Bldg A & B, Santa Maria, CA 93455-2118 | 2006-07-16 |
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| Find all providers with the same taxonomy | ||||
| City | SANTA MARIA |
| Zip Code | 93454 |
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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.