Mills Health Center D/p Aph | |
100 S San Mateo Dr San Mateo CA 94401-3805 | |
(650) 696-5400 | |
Not Available |
Full Name | Mills Health Center D/p Aph |
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Speciality | Psychiatric Unit |
Location | 100 S San Mateo Dr, San Mateo, California |
Authorized Official Name and Position | John B. Gates (CFO) |
Authorized Official Contact | 5104507357 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mills Health Center D/p Aph Po Box 742738 Los Angeles CA 90074-2738 Ph: () - | Mills Health Center D/p Aph 100 S San Mateo Dr San Mateo CA 94401-3805 Ph: (650) 696-5400 |
NPI Number | 1043670342 |
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Provider Enumeration Date | 02/29/2016 |
Last Update Date | 12/06/2021 |
Certification Date | 12/06/2021 |
Medicare PECOS PAC ID | 3476506528 |
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Medicare Enrollment ID | O20160614001955 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043670342 | NPI | - | NPPES |
220000037 | Other | CA | DISTINCT PART ACURE PSYCHIATRIC UNIT LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | 220000037 (California) | Primary |
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