| Lincoln | |
|
12250 Skyline Blvd Oakland CA 94619-2425 | |
| (510) 482-7109 | |
| (510) 482-7296 |
| Full Name | Lincoln |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12250 Skyline Blvd, Oakland, California |
| Authorized Official Name and Position | Allison Staulcup Becwar (CHIEF PROGRAM OFFICER) |
| Authorized Official Contact | 5102734700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln 1266 14th St Oakland CA 94607-2205 Ph: (510) 273-4700 | Lincoln 12250 Skyline Blvd Oakland CA 94619-2425 Ph: (510) 482-7109 |
| NPI Number | 1316485550 |
|---|---|
| Provider Enumeration Date | 02/08/2017 |
| Last Update Date | 02/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316485550 | NPI | - | NPPES |
| 0000054BM | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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