| West Oakland Health Center | |
|
700 Adeline St Oakland CA 94607-2608 | |
| (510) 835-9610 | |
| (510) 272-0209 |
| Full Name | West Oakland Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 700 Adeline St, Oakland, California |
| Authorized Official Name and Position | Robert Phillips (CEO) |
| Authorized Official Contact | 5108359610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Oakland Health Center 700 Adeline St Oakland CA 94607-2608 Ph: (510) 835-9610 | West Oakland Health Center 700 Adeline St Oakland CA 94607-2608 Ph: (510) 835-9610 |
| NPI Number | 1215058938 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 10/18/2022 |
| Medicare PECOS PAC ID | 9537062302 |
|---|---|
| Medicare Enrollment ID | O20110314000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215058938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 140000121 (California) | Primary |
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