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Organization
ALAMEDA HEALTH SYSTEM
Active
Organization
ALAMEDA HEALTH SYSTEM
Active
Other names
FAIRMONT HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE JENSEN (VP OF REVENUE CYCLE)
(510) 618-2147
Entity
Organization
Contact information
Practice address
15400 FOOTHILL BLVD, BLDG E, SAN LEANDRO, CA 94578-1009
(510) 895-7230
(510) 895-4231
Mailing address
15400 FOOTHILL BLVD, SAN LEANDRO, CA 94578-1009
(510) 895-7344
(510) 895-7229
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
140000046
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC70138F
—
CA
Enumeration date
05/30/2007
Last updated
05/27/2016
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