NORTH EAST MEDICAL SERVICES NPI 1275017691

NPI Information

NPI: 1275017691
Provider Name: NORTH EAST MEDICAL SERVICES
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 05D2037353

Address:
1422 NORIEGA ST
SAN FRANCISCO, CA
ZIP 94122
Phone: (415) 391-9686
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NORTH EAST MEDICAL SERVICES is a federally qualified health center (fqhc) clinic center in San Francisco, CA. NORTH EAST MEDICAL SERVICES NPI is 1275017691. The provider is registered as an organization entity type.

The provider's business location address is:

1422 NORIEGA ST
SAN FRANCISCO, CA
ZIP 94122-432
Phone: (415) 391-9686

The provider's authorized official is Eddie W Chan .
The authorized official title is President & Ceo and has the following contact phone number (415) 391-9686.

The CLIA number assigned to this NPI record is 05D2037353 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2018 and was last updated on 9/21/2018.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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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