South County Wellness Center | |
40963 Grimmer Blvd Fremont CA 94538-2846 | |
(510) 657-7425 | |
Not Available |
Full Name | South County Wellness Center |
---|---|
Speciality | Community/behavioral Health |
Location | 40963 Grimmer Blvd, Fremont, California |
Authorized Official Name and Position | Michael Stanton Ward (SENIOR DIRECTOR OF ADMINISTRATION) |
Authorized Official Contact | 5105459763 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
South County Wellness Center 390 40th St Oakland CA 94609-2633 Ph: (510) 613-0320 | South County Wellness Center 40963 Grimmer Blvd Fremont CA 94538-2846 Ph: (510) 657-7425 |
NPI Number | 1104036383 |
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Provider Enumeration Date | 05/23/2007 |
Last Update Date | 01/29/2024 |
Certification Date | 01/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104036383 | NPI | - | NPPES |
01GS1 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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