Shoreline Middle School
LBN: Santa Cruz Community Health Centers
Shoreline Middle School is an health care organization with primary practice located at 855 17Th Ave , Santa Cruz CA 95062-4169. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty.
Santa Cruz Community Health Centers can be contacted via phone (831) 427-3500, or through Jasso, Ruth via phone (831) 427-3500.
Contact Information
Primary practice address
855 17Th Ave
Santa Cruz CA 95062-4169
Phone: (831) 427-3500
Fax: (831) 426-3286
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
NPI number | 1184352056 |
---|---|
LBN Legal business name | Santa Cruz Community Health Centers |
DBA Doing business as | Shoreline Middle School |
Authorized official | Jasso, Ruth |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Aug 9th, 2022 |
Last updated | Aug 9th, 2022 - about 2 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 | 1184352056 | NPPES |
California | MEDICAID | 1952749541 |
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