COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC (NPI# 1861791378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861791378 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC |
| Other Organization Name | COMMUNITY HEALTH CENTERS-BROADWAY |
| Practice Address |
210 N Broadway Santa Maria CA 93454-4415 |
| Mailing Address |
2050 S Blosser Rd Santa Maria CA 93458-7310 |
| Practice Telephone | 8053471171 |
| Practice Fax Number | 8053471174 |
| Mailing Telephone | 8053618028 |
| Mailing Fax Number | 8053618097 |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2019-01-21 |
| Authorized Official Name | MR. RONALD E CASTLE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8059293211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Community Health Centers-Broadway | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1508105008 | Community Health Centers of The Central Coast, Inc | Clinic/Center | 4711 Highway 166, New Cuyama, CA 93254-0000 | 2013-02-05 |
| 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 |
210 N BROADWAY |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454-4415 |
| 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 | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023523990 | Pacific Central Coast Health Centers | Clinic/Center | 2271 S Depot St, Santa Maria, CA 93455-1216 | 2017-12-13 |
| 1306225941 | Pacific Central Coast Health Centers | Clinic/Center | 1102 E Clark Ave, Suite 120a, Santa Maria, CA 93455-5174 | 2015-05-28 |
| 1811914674 | Planned Parenthood California Central Coast | Clinic/Center | 415 East Chapel Street, Santa Maria, CA 93454 | 2006-07-17 |
| 1063496651 | Pacific Central Coast Health Centers | Clinic/Center | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2005-12-06 |
| 1821610239 | Pacific Central Coast Health Centers | Clinic/Center | 1300 E Cypress St Ste B1, Santa Maria, CA 93454-4730 | 2020-05-08 |
| 1306319595 | Pacific Central Coast Health Centers | Clinic/Center | 1325 E Church St Ste 301, Santa Maria, CA 93454-5915 | 2019-01-10 |
| 1417462375 | Pacific Central Coast Health Centers | Clinic/Center | 2880 Santa Maria Way, Santa Maria, CA 93455-2103 | 2017-12-13 |
| 1265806020 | Pacific Central Coast Health Centers | Clinic/Center | 206 S Stratford Ave, Suite B, Santa Maria, CA 93454-5901 | 2015-11-17 |
| 1760861306 | Pacific Central Coast Health Centers | Clinic/Center | 5075 S Bradley Rd, Suite 131, Santa Maria, CA 93455-5077 | 2015-05-28 |
| 1760887368 | Pacific Central Coast Health Centers | Clinic/Center | 300 S Stratford Ave, Santa Maria, CA 93454-5903 | 2014-10-27 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93454 |
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.