Community Clinic North
LBN: Janus Of Santa Cruz
Community Clinic North is an health care organization with primary practice located at 1000A & 1010C Emeline Ave , Santa Cruz CA 95060. 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) 425-0112, or through Williams, Amber via phone (831) 278-7906.
Contact Information
Primary practice address
1000A & 1010C Emeline Ave
Santa Cruz CA 95060
Phone: (831) 425-0112
Fax: (831) 425-1847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Methadone | 261QM2800X | 4405 | California |
Profile Details
| NPI number | 1730213794 |
|---|---|
| LBN Legal business name | Janus Of Santa Cruz |
| DBA Doing business as | Community Clinic North |
| Authorized official | Williams, Amber |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Mar 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730213794 | NPPES |
| California | Other | 44-05 | DHCS |
| California | MEDICAID | 44AB | DHCS |
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