|
| |
|
9500 Central Ave Ben Lomond CA 95005-9349 | |
| (831) 427-3500 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 9500 Central Ave, Ben Lomond, California |
| Authorized Official Name and Position | Leslie Conner (CHIEF EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8314273500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 542 Santa Cruz CA 95061-0542 Ph: (831) 427-3500 | 9500 Central Ave Ben Lomond CA 95005-9349 Ph: (831) 427-3500 |
| NPI Number | 1538815253 |
|---|---|
| Provider Enumeration Date | 02/22/2022 |
| Last Update Date | 02/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538815253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Santa Cruz Community Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 231 Main St Ste A, Ben Lomond, CA 95005 Phone: 831-427-3500 Fax: 831-426-3286 | |