Organization
WASHINGTON TOWNSHIP HOSPITAL DEVELOPMENT CORPORATION
Active
Other names
Washington On Wheels
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY FARBER (PRESIDENT AND CEO)
(510) 745-6500
Entity
Organization
Contact information
Practice address
2000 MOWRY AVE, FREMONT, CA 94538-1716
(510) 608-3203
(510) 742-9285
Mailing address
2000 MOWRY AVE, FREMONT, CA 94538-1716
(510) 608-3203
(510) 742-9285
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70999F
—
CA
01
—
ZZZ07349Z
BLUE SHIELD GRP PROV#
CA
Enumeration date
07/11/2006
Last updated
11/27/2007
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