| Hayward Wellness Center | |
|
664 Southland Mall Hayward CA 94545-2150 | |
| (510) 266-1700 | |
| (510) 782-8766 |
| Full Name | Hayward Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 664 Southland Mall, Hayward, California |
| Authorized Official Name and Position | Bernadette Jensen (VP OF REVENUE CYCLE) |
| Authorized Official Contact | 5106182147 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hayward Wellness Center 15400 Foothill Blvd San Leandro CA 94578-1009 Ph: (510) 895-7344 | Hayward Wellness Center 664 Southland Mall Hayward CA 94545-2150 Ph: (510) 266-1700 |
| NPI Number | 1033241633 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 05/27/2016 |
| Medicare PECOS PAC ID | 3779494521 |
|---|---|
| Medicare Enrollment ID | O20160126001709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033241633 | NPI | - | NPPES |
| FHC11797G | Medicaid | CA | |
| HAP11797G | Medicaid | CA | |
| BCP11797G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | EXEMPT UNER 12-35B (California) | Primary |
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