NORTH EAST MEDICAL SERVICES NPI 1811424039

NPI Information

NPI: 1811424039
Provider Name: NORTH EAST MEDICAL SERVICES

Doing Business As: NORTH EAST MEDICAL SERVICES - ELLIS

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
518 ELLIS ST
SAN FRANCISCO, CA
ZIP 94109
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 1811424039. The provider is registered as an organization entity type.
The provider Is Doing Business As North East Medical Services - Ellis.

The provider's business location address is:

518 ELLIS ST
SAN FRANCISCO, CA
ZIP 94109-103
Phone: (415) 391-9686
Fax: (415) 433-4726

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

The enumeration date for this NPI number is 5/18/2017 and was last updated on 5/18/2017.

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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