| Ahs Homeless Mobile Clinic #1 | |
|
15400 Foothill Blvd San Leandro CA 94578-3746 | |
| (510) 532-1930 | |
| Not Available |
| Full Name | Ahs Homeless Mobile Clinic #1 |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 15400 Foothill Blvd, San Leandro, California |
| Authorized Official Name and Position | Bernadette Jensen (VP OF REVENUE CYCLE) |
| Authorized Official Contact | 5106182147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahs Homeless Mobile Clinic #1 15400 Foothill Blvd San Leandro CA 94578-1009 Ph: (510) 895-7344 | Ahs Homeless Mobile Clinic #1 15400 Foothill Blvd San Leandro CA 94578-3746 Ph: (510) 532-1930 |
| NPI Number | 1558749440 |
|---|---|
| Provider Enumeration Date | 05/11/2015 |
| Last Update Date | 05/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558749440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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