Share Our Selves Community Health Center

LBN: Share Our Selves Corporation
Share Our Selves Community Health Center is an health care organization with primary practice located at 1550 Superior Ave , Costa Mesa CA 92627-3653. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Share Our Selves Corporation can be contacted via phone (949) 270-2100, or through Ward, Christy via phone (949) 536-3927.

Contact Information

Primary practice address
1550 Superior Ave Costa Mesa CA 92627-3653
Phone: (949) 270-2100
Fax: (949) 515-5804
Website:
Map and Directions
Authorized official contact:
Name: Ward, Christy
Phone: (949) 536-3927

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1508073685
LBN Legal business name Share Our Selves Corporation
DBA Doing business as Share Our Selves Community Health Center
Authorized official Ward, Christy
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Oct 2nd, 2020 - about 4 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 1508073685 NPPES
California Other CMM70513F MEDI-CAL

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