| County Of Santa Cruz Health Services Agency Fqhc Santa Cruz Clinic | |
|
1080 Emeline Ave Santa Cruz CA 95060-1966 | |
| (831) 454-4100 | |
| (831) 454-4296 |
| Full Name | County Of Santa Cruz Health Services Agency Fqhc Santa Cruz Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1080 Emeline Ave, Santa Cruz, California |
| Authorized Official Name and Position | Amy Peeler (CHIEF OF CLINICS) |
| Authorized Official Contact | 8314544764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Santa Cruz Health Services Agency Fqhc Santa Cruz Clinic 1080 Emeline Ave Santa Cruz CA 95060-1966 Ph: (831) 454-4100 | County Of Santa Cruz Health Services Agency Fqhc Santa Cruz Clinic 1080 Emeline Ave Santa Cruz CA 95060-1966 Ph: (831) 454-4100 |
| NPI Number | 1578680310 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 11/28/2023 |
| Medicare PECOS PAC ID | 7618872912 |
|---|---|
| Medicare Enrollment ID | O20140630001795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578680310 | NPI | - | NPPES |
| FHC70042F | Medicaid | CA | |
| HAP70042F | Other | CA | STATE - FAMILY PLANNING |
| BCP70042F | Other | CA | CANCER DETECTION PROGRM |
| 1659315430 | Other | CA | LEGAL ENTITY NPI |
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