Organization
PUBLIC HEALTH
Active
Other names
Health Services Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER HERRERA RN (ADMINISTRATOR)
(831) 454-4000
Entity
Organization
Contact information
Practice address
1060 EMELINE AVE, SANTA CRUZ, CA 95060-1966
(831) 454-4339
Mailing address
1060 EMELINE AVE, SANTA CRUZ, CA 95060-1966
(831) 454-4339
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FHC70042F
MCAL
—
Enumeration date
10/11/2007
Last updated
05/15/2025
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