ALAMEDA COUNTY HEALTH CARE SERVICES AGENCY/HEALTH CARE FOR HOMELESS NPI 1013231646

NPI Information

NPI: 1013231646
Provider Name: ALAMEDA COUNTY HEALTH CARE SERVICES AGENCY/HEALTH CARE FOR HOMELESS
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2272 SAN PABLO AVE
HCHP ST.VINCENT'S STABLE SITE CLINIC
OAKLAND, CA
ZIP 94612
Phone: (510) 532-1930
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ALAMEDA COUNTY HEALTH CARE SERVICES AGENCY/HEALTH CARE FOR HOMELESS is a federally qualified health center (fqhc) clinic center in Oakland, CA. ALAMEDA COUNTY HEALTH CARE SERVICES AGENCY/HEALTH CARE FOR HOMELESS NPI is 1013231646. The provider is registered as an organization entity type.

The provider's business location address is:

2272 SAN PABLO AVE
HCHP ST.VINCENT'S STABLE SITE CLINIC
OAKLAND, CA
ZIP 94612-321
Phone: (510) 532-1930
Fax: (510) 532-1930

The provider's authorized official is David Modersbach .
The authorized official title is Program Director and has the following contact phone number (510) 532-1930.

The enumeration date for this NPI number is 3/25/2010 and was last updated on 11/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1881632867	OTHER		ORIGINAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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