| Newark Health Center | |
|
6066 Civiv Terrace Avenue Newark CA 94560-3756 | |
| (510) 505-1600 | |
| (510) 494-7210 |
| Full Name | Newark Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 6066 Civiv Terrace Avenue, Newark, California |
| Authorized Official Name and Position | Merrilyn Pequignot (EXECUTIVE DIR. PROFESSIONAL REVENUE) |
| Authorized Official Contact | 5103461349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newark Health Center 15400 Foothill Blvd San Leandro CA 94578-1009 Ph: (510) 895-7344 | Newark Health Center 6066 Civiv Terrace Avenue Newark CA 94560-3756 Ph: (510) 505-1600 |
| NPI Number | 1770784563 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 03/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770784563 | NPI | - | NPPES |
| BCP11799G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | EXEMPT UNDER 12-35B (California) | Primary |
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