COMMUNITY HEALTH CENTER OF THE CENTRAL COAST INC (NPI# 1356368138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356368138 |
Entity Type | Organization |
Organization Name | COMMUNITY HEALTH CENTER OF THE CENTRAL COAST INC |
Other Organization Name | COMMUNITY HEALTH CENTERS SANTA MARIA HIGH SCHOOL |
Practice Address |
829 S Lincoln St Space 908 Santa Maria CA 93458-6112 |
Mailing Address |
2050 S Blosser Rd Santa Maria CA 93458-7310 |
Practice Telephone | 8056149275 |
Practice Fax Number | 8056149285 |
Mailing Telephone | 8053618028 |
Mailing Fax Number | 8053618097 |
Enumeration Date | 2006-07-16 |
Last Update Date | 2019-01-21 |
Authorized Official Name | 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 | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Community Health Centers Santa Maria High School | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629595038 | Community Health Center of The Central Coast Inc | Clinic/Center | 1510 E Main St Ste 104, Santa Maria, CA 93454-4826 | 2017-08-25 |
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 |
829 S LINCOLN ST SPACE 908 |
City | SANTA MARIA |
State | CA |
Zip Code | 93458-6112 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790206761 | Recovery Point Acute Care | Family Medicine | 104b W Morrison Ave, Santa Maria, CA 93458 | 2017-06-29 |
1669912986 | Terry Jauregui | Behavior Technician | 1908 Vallet Vista, Santa Maria, CA 93458 | 2017-03-06 |
1770960692 | Anka Behavioral Health Incorporated | Community Based Residential Treatment Facility, Mental Illness | 212 West Carmen Lane, Santa Maria, CA 93458 | 2015-04-29 |
1447663299 | Dan Reynolds | Case Manager/Care Coordinator | 117 W. Tunnel Street, Santa Maria, CA 93458 | 2014-06-10 |
1043640824 | Good Samaritan Shelter | Counselor | 403 W Morrison Ave, Santa Maria, CA 93458 | 2013-11-15 |
1114281003 | Angelica Guadalupe Enriquez | Counselor | 1908 N. Western Ave, Santa Maria, CA 93458 | 2012-06-26 |
1225307036 | Krista Nicole Delia | Counselor | 2443 Ebony St., Santa Maria, CA 93458 | 2011-12-22 |
1528374774 | Jeff Robert Jeffery | Counselor | 117 S. Benwiley Avenue, Santa Maria, CA 93458 | 2010-08-25 |
1528295367 | Dena Marshelle Reed | Counselor | 401-b W. Morrison Ave., Santa Maria, CA 93458 | 2009-06-19 |
1114177326 | Suzanne Brooke Vierling | Counselor | 7321 S. Lincoln, Santa Maria, CA 93458 | 2008-09-24 |
Find all providers in zip 93458 |
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 |
---|---|---|---|---|
1629595038 | Community Health Center of The Central Coast Inc | Clinic/Center | 1510 E Main St Ste 104, Santa Maria, CA 93454-4826 | 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 |
1851417703 | Community Health Centers of The Central Coast Inc | Clinic/Center | 201 W Mill St, Santa Maria, CA 93458-4327 | 2007-03-22 |
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 | 93458 |
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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.