# MADISON HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780953596
- **Authorized official:** DR. MUNTU R DAVIS M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (510) 267-8010

## Contact information

- **Practice address:** 400 CAPISTRANO DR, OAKLAND, CA 94603-3520
- **Practice address phone:** (510) 636-4210
- **Mailing address:** 1000 BROADWAY, SUITE 500, OAKLAND, CA 94607-4099
- **Mailing address phone:** (510) 267-8000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 261QS1000X | Student Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/22/2011
- **Last updated:** 05/11/2012