Organization
TIBURCIO VASQUEZ HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA SCHWAB-GALINDO (CHIEF EXECUTIVE OFFICER)
(510) 460-3855
Entity
Organization
Contact information
Practice address
22331 MISSION BLVD, HAYWARD, CA 94541
(510) 471-5880
(510) 690-0703
Mailing address
22331 MISSION BLVD, HAYWARD, CA 94541
(510) 471-5880
(510) 690-0703
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
140000705
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-1102
MEDICARE FQHC
CA
05
—
FHC71039F
—
CA
01
—
HAP71039F
EDS
CA
Enumeration date
12/19/2006
Last updated
04/04/2022
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