| San Mateo County Medical Center | |
|
630 Laurel St Redwood City CA 94063-2977 | |
| (650) 573-2120 | |
| Not Available |
| Full Name | San Mateo County Medical Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 630 Laurel St, Redwood City, California |
| Authorized Official Name and Position | Kris Rozzi (REIMBURSEMENT) |
| Authorized Official Contact | 6505732120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Mateo County Medical Center 222 W 39th Ave San Mateo CA 94403-4364 Ph: (650) 573-2120 | San Mateo County Medical Center 630 Laurel St Redwood City CA 94063-2977 Ph: (650) 573-2120 |
| NPI Number | 1659300085 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659300085 | NPI | - | NPPES |
| FHC80183W | Other | CA | FQHC PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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