County Of Santa Cruz Health Services Agency Fqhc Santa Cruz Clinic

LBN: County Of Santa Cruz
County Of Santa Cruz Health Services Agency Fqhc Santa Cruz Clinic is an health care organization with primary practice located at 1080 Emeline Ave , Santa Cruz CA 95060-1966. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. County Of Santa Cruz can be contacted via phone (831) 454-4100, or through Peeler, Amy via phone (831) 454-4764.

Contact Information

Primary practice address
1080 Emeline Ave Santa Cruz CA 95060-1966
Phone: (831) 454-4100
Fax: (831) 454-4296
Website:
Map and Directions
Authorized official contact:
Name: Peeler, Amy
Phone: (831) 454-4764

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X California
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1578680310
LBN Legal business name County Of Santa Cruz
DBA Doing business as County Of Santa Cruz Health Services Agency Fqhc Santa Cruz Clinic
Authorized official Peeler, Amy
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 26th, 2007
Last updated Nov 28th, 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 1578680310 NPPES
California MEDICAID FHC70042F
California Other HAP70042F
California Other BCP70042F
California Other 1659315430

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