| Lifelong Jenkins Pediatric Center | |
|
120 Broadway Suite 4 Richmond CA 94804-1938 | |
| (510) 237-9537 | |
| (510) 237-3957 |
| Full Name | Lifelong Jenkins Pediatric Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 120 Broadway, Richmond, California |
| Authorized Official Name and Position | Rick Clark (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5109814122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifelong Jenkins Pediatric Center Po Box 11247 Berkeley CA 94712-2247 Ph: (510) 981-4122 | Lifelong Jenkins Pediatric Center 120 Broadway Suite 4 Richmond CA 94804-1938 Ph: (510) 237-9537 |
| NPI Number | 1407109622 |
|---|---|
| Provider Enumeration Date | 10/25/2012 |
| Last Update Date | 10/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407109622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Richmond Public Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 38th St, Richmond, CA 94805 Phone: 925-957-5429 | |
Baart Community Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1313 Cutting Blvd, Richmond, CA 94804 Phone: 510-232-0874 | |
Contra Costa Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Fred Jackson Way, Richmond, CA 94801 Phone: 510-231-1370 | |
Lifelong William Jenkins Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 Harbour Way, Richmond, CA 94801 Phone: 510-237-9537 Fax: 510-981-4191 | |
World Ginseng Herb. Co. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3288 Pierce St Ste C 121, Richmond, CA 94804 Phone: 510-559-8897 | |
Planned Parenthood Shasta Diablo Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Broadway, Richmond, CA 94804 Phone: 510-232-1250 |