# ALAMEDA HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aids Waiver Case Management
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669595906
- **Authorized official:** BERNADETTE JENSEN (VP OF REVENUE CYCLE)
- **Authorized official phone:** (510) 618-2147

## Contact information

- **Practice address:** 15400 FOOTHILL BLVD, BLDG E, SAN LEANDRO, CA 94578-1009
- **Practice address phone:** (510) 895-7230
- **Practice address fax:** (510) 895-4231
- **Mailing address:** 15400 FOOTHILL BLVD, SAN LEANDRO, CA 94578-1009
- **Mailing address phone:** (510) 895-7344
- **Mailing address fax:** (510) 895-7229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 05/27/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | AYD000110 | — | CA |