| Excelsior Health Services | |
|
888 Paris St San Francisco CA 94112-3857 | |
| (415) 677-2488 | |
| (415) 217-4199 |
| Full Name | Excelsior Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 888 Paris St, San Francisco, California |
| Authorized Official Name and Position | Thomas Bolger (CFO) |
| Authorized Official Contact | 4156772496 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Excelsior Health Services 888 Paris St San Francisco CA 94112-3857 Ph: (415) 677-2488 | Excelsior Health Services 888 Paris St San Francisco CA 94112-3857 Ph: (415) 677-2488 |
| NPI Number | 1164458402 |
|---|---|
| Provider Enumeration Date | 06/25/2006 |
| Last Update Date | 03/03/2009 |
| Medicare PECOS PAC ID | 9436042413 |
|---|---|
| Medicare Enrollment ID | O20180629000853 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164458402 | NPI | - | NPPES |
| CMM71107F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 550000121 (California) | Primary |
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