| Westside Methadone Clinic | |
|
1301 Pierce St San Francisco CA 94115-4005 | |
| (415) 563-8200 | |
| (415) 563-5985 |
| Full Name | Westside Methadone Clinic |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1301 Pierce St, San Francisco, California |
| Authorized Official Name and Position | Mary Ann Jones (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4154319000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Methadone Clinic 1153 Oak St San Francisco CA 94117-2216 Ph: (415) 431-9000 | Westside Methadone Clinic 1301 Pierce St San Francisco CA 94115-4005 Ph: (415) 563-8200 |
| NPI Number | 1992861694 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 08/31/2021 |
| Certification Date | 08/31/2021 |
| Medicare PECOS PAC ID | 9436204427 |
|---|---|
| Medicare Enrollment ID | O20201021001607 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992861694 | NPI | - | NPPES |
| 3887 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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