| Shoreline Middle School | |
|
855 17th Ave Santa Cruz CA 95062-4169 | |
| (831) 427-3500 | |
| (831) 426-3286 |
| Full Name | Shoreline Middle School |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 855 17th Ave, Santa Cruz, California |
| Authorized Official Name and Position | Ruth Jasso (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 8314273500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Middle School Po Box 542 Santa Cruz CA 95061-0542 Ph: (831) 427-3500 | Shoreline Middle School 855 17th Ave Santa Cruz CA 95062-4169 Ph: (831) 427-3500 |
| NPI Number | 1184352056 |
|---|---|
| Provider Enumeration Date | 08/09/2022 |
| Last Update Date | 08/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184352056 | NPI | - | NPPES |
| 1952749541 | Medicaid | CA |
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