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
Fax: (831) 426-3286
Website:
Authorized official contact:
Name: Jasso, Ruth

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1184352056 NPPES
California MEDICAID 1952749541

Popular Providers