| Native American Health Center | |
|
2950 International Blvd Oakland CA 94601-2228 | |
| (510) 485-5906 | |
| (510) 485-5919 |
| Full Name | Native American Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2950 International Blvd, Oakland, California |
| Authorized Official Name and Position | Adrian A Marcus-flores (CREDENTIALING & LICENSING ASSOCIATE) |
| Authorized Official Contact | 5104855906 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Native American Health Center 3124 International Blvd Room 314 Oakland CA 94601-2228 Ph: (510) 485-5906 | Native American Health Center 2950 International Blvd Oakland CA 94601-2228 Ph: (510) 485-5906 |
| NPI Number | 1619147030 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4284697202 |
|---|---|
| Medicare Enrollment ID | O20120521000166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619147030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (California) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 140000155 (California) | Primary |
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