Organization
BAY AREA COMMUNITY HEALTH
Active
Organization
BAY AREA COMMUNITY HEALTH
Active
Parent organization
BAY AREA COMMUNITY HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAY AREA COMMUNITY HEALTH
Authorized official
DR. ZETTIE D PAGE III MD, PH.D, MBA, MSW (CEO)
(510) 252-6811
Entity
Organization
Contact information
Practice address
39500 LIBERTY STREET, FREMONT, CA 94538-2211
(510) 770-8040
(510) 623-8926
Mailing address
40910 FREMONT BLVD, FREMONT, CA 94538-4375
(510) 770-8040
(510) 623-8926
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
140000586
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140000586
CLINIC LICENSE
CA
05
—
BCP70829F
—
CA
Enumeration date
04/12/2007
Last updated
01/31/2022
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