| Axis Community Health Inc | |
|
3311 Pacific Ave Livermore CA 94551 | |
| (925) 462-1755 | |
| (925) 417-1503 |
| Full Name | Axis Community Health Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3311 Pacific Ave, Livermore, California |
| Authorized Official Name and Position | Sue Compton (CEO) |
| Authorized Official Contact | 9254621755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Axis Community Health Inc 5925 W Las Positas Blvd Ste 100 Pleasanton CA 94588-8537 Ph: (925) 462-1755 | Axis Community Health Inc 3311 Pacific Ave Livermore CA 94551 Ph: (925) 462-1755 |
| NPI Number | 1306877121 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 02/17/2022 |
| Medicare PECOS PAC ID | 7012975071 |
|---|---|
| Medicare Enrollment ID | O20110513000504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306877121 | NPI | - | NPPES |
| FHC70205F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | A0610721 (California) | Primary |
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