Marian Community Clinic

LBN: Pacific Central Coast Health Centers
Marian Community Clinic is an health care organization with primary practice located at 1745 N Broadway Ste 101 , Santa Maria CA 93454-1940. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Pacific Central Coast Health Centers can be contacted via phone (805) 739-3890, or through Richardson, Matthew via phone (805) 739-3108.

Contact Information

Primary practice address
1745 N Broadway Ste 101 Santa Maria CA 93454-1940
Phone: (805) 739-3890
Fax: (805) 347-7697
Website:
Map and Directions
Authorized official contact:
Name: Richardson, Matthew
Phone: (805) 739-3108

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X

Profile Details

NPI number 1063496651
LBN Legal business name Pacific Central Coast Health Centers
DBA Doing business as Marian Community Clinic
Authorized official Richardson, Matthew
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 6th, 2005
Last updated Apr 3rd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063496651 NPPES
California MEDICAID CMM70597G
California MEDICAID CMM70597O
California MEDICAID EAP03882G
California Other ZZZ06481Z

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