Dominican Medical Foundation Chw

LBN: Dominican Medical Foundations Mission St.
Dominican Medical Foundation Chw is an health care organization with primary practice located at 2018 Mission St , Santa Cruz CA 95060-5218. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Dominican Medical Foundations Mission St. can be contacted via phone (831) 706-2220, or through Heine, Kenny via phone (858) 625-2990.

Contact Information

Primary practice address
2018 Mission St Santa Cruz CA 95060-5218
Phone: (831) 706-2220
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Heine, Kenny
Phone: (858) 625-2990

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X A88194 California

Profile Details

NPI number 1275780603
LBN Legal business name Dominican Medical Foundations Mission St.
DBA Doing business as Dominican Medical Foundation Chw
Authorized official Heine, Kenny
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 27th, 2008
Last updated Oct 23rd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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