| San Mateo Medical Center | |
|
200 James Ave Redwood City CA 94062-5123 | |
| (650) 366-2927 | |
| Not Available |
| Full Name | San Mateo Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 James Ave, Redwood City, California |
| Authorized Official Name and Position | Kris Rozzi (REIMBURSEMENT) |
| Authorized Official Contact | 6505732120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Mateo Medical Center 222 W 39th Ave San Mateo CA 94403-4364 Ph: (650) 573-2222 | San Mateo Medical Center 200 James Ave Redwood City CA 94062-5123 Ph: (650) 366-2927 |
| NPI Number | 1568540557 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 09/30/2010 |
| Medicare PECOS PAC ID | 9032023171 |
|---|---|
| Medicare Enrollment ID | O20161021002000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568540557 | NPI | - | NPPES |
| FHC80183F | Other | CA | FQHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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