Organization
SANTA CRUZ COMMUNITY HEALTH CENTERS
Active
Other names
Live Oak Elementary School
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH JASSO (REVENUE CYCLE DIRECTOR)
(831) 427-3500
Entity
Organization
Contact information
Practice address
1916 CAPITOLA RD, SANTA CRUZ, CA 95062-3011
(831) 427-3500
Mailing address
PO BOX 542, SANTA CRUZ, CA 95061-0542
(831) 427-3500
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952749541
—
CA
Enumeration date
03/17/2023
Last updated
03/17/2023
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