| Psychiatric Healthcare Medical Corp | |
|
3569 Sacramento St San Francisco CA 94118-1866 | |
| (415) 522-9297 | |
| (415) 771-4048 |
| Full Name | Psychiatric Healthcare Medical Corp |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 3569 Sacramento St, San Francisco, California |
| Authorized Official Name and Position | Charles P. Connor (CEO) |
| Authorized Official Contact | 4155229297 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Healthcare Medical Corp 3569 Sacramento St San Francisco CA 94118-1866 Ph: (415) 522-9297 | Psychiatric Healthcare Medical Corp 3569 Sacramento St San Francisco CA 94118-1866 Ph: (415) 522-9297 |
| NPI Number | 1730235235 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 06/10/2011 |
| Medicare PECOS PAC ID | 7517096944 |
|---|---|
| Medicare Enrollment ID | O20100524000773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730235235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | G65182 (California) | Primary |
| Provider Name | Charles P Connor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851447320 PECOS PAC ID: 4880768589 Enrollment ID: I20080729000572 |
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