Health Services Agency-Mental Health Division

LBN: Fee-For-Service-Mixed Specialty Group
Health Services Agency-Mental Health Division is an health care organization with primary practice located at 1400 Emeline Ave , Santa Cruz CA 95060-1976. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Fee-For-Service-Mixed Specialty Group can be contacted via phone (831) 454-4170, or through Khalsa, Rama via phone (831) 454-4000.

Contact Information

Primary practice address
1400 Emeline Ave Santa Cruz CA 95060-1976
Phone: (831) 454-4170
Fax: (831) 454-4663
Website:
Map and Directions
Authorized official contact:
Name: Khalsa, Rama PH.D.
Phone: (831) 454-4000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X California

Profile Details

NPI number 1366640831
LBN Legal business name Fee-For-Service-Mixed Specialty Group
DBA Doing business as Health Services Agency-Mental Health Division
Authorized official Khalsa, Rama PH.D.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 6th, 2007
Last updated Mar 4th, 2008 - about 17 years ago

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 1366640831 NPPES
California Other 1659315430 LEGAL ENTITY NPI#
California MEDICAID 44BB LEGAL ENTITY NPI#

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