| Bay Area Community Health Irvington Dave Clinic Ii - Medical Services | |
|
40930 Fremont Blvd Fremont CA 94538-4375 | |
| (510) 770-8040 | |
| Not Available |
| Full Name | Bay Area Community Health Irvington Dave Clinic Ii - Medical Services |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 40930 Fremont Blvd, Fremont, California |
| Authorized Official Name and Position | Jagat Sheth (CFO) |
| Authorized Official Contact | 5102526810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Community Health Irvington Dave Clinic Ii - Medical Services 40910 Fremont Blvd Fremont CA 94538-4375 Ph: () - | Bay Area Community Health Irvington Dave Clinic Ii - Medical Services 40930 Fremont Blvd Fremont CA 94538-4375 Ph: (510) 770-8040 |
| NPI Number | 1659967321 |
|---|---|
| Provider Enumeration Date | 12/17/2020 |
| Last Update Date | 05/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659967321 | NPI | - | NPPES |
| 1780054379 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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