Community Clinic South

LBN: Janus Of Santa Cruz
Community Clinic South is an health care organization with primary practice located at 284 Pennsylvania Dr Ste 1&2 , Watsonville CA 95076-3768. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Methadone. Ambulatory Health Care Facilities / Methadone is the primary health care specialty. Janus Of Santa Cruz can be contacted via phone (831) 319-4200, or through Williams, Amber via phone (831) 278-7906.

Contact Information

Primary practice address
284 Pennsylvania Dr Ste 1&2 Watsonville CA 95076-3768
Fax: (831) 319-4204
Website:
Authorized official contact:
Name: Williams, Amber

Health care specialties

Profile Details

NPI number 1649601550
LBN Legal business name Janus Of Santa Cruz
DBA Doing business as Community Clinic South
Authorized official Williams, Amber
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2013
Last updated Feb 23rd, 2022 - about 3 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 1649601550 NPPES
California MEDICAID 44AB
California MEDICAID 44AC

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