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760 Morro Bay Blvd Morro Bay CA 93442-1918 | |
| (805) 600-6001 | |
| (805) 600-6005 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 760 Morro Bay Blvd, Morro Bay, California |
| Authorized Official Name and Position | Ronald E Castle (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8059293211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
150 Tejas Pl Nipomo CA 93444-9123 Ph: (805) 929-3211 | 760 Morro Bay Blvd Morro Bay CA 93442-1918 Ph: (805) 600-6001 |
| NPI Number | 1912023870 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 09/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912023870 | NPI | - | NPPES |
| CMM71167F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
Mark A Ward Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 355 Las Vegas St, Morro Bay, CA 93442 Phone: 805-772-7100 Fax: 805-772-7776 | |
Cmg Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 665 Main St, Suite B, Morro Bay, CA 93442 Phone: 805-771-8365 Fax: 805-771-9242 | |
Morro Bay Chiropractic, Dr. Street Dc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 Harbor St, Morro Bay, CA 93442 Phone: 805-772-2088 | |