Organization
THE DAVIS STREET COMMUNITY CENTER INCORPORATED
Active
Other names
Davis Street Primary Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALIA AQUINO MCMILLEN (CHIEF FISCAL OFFICER)
(510) 347-4620
Entity
Organization
Contact information
Practice address
3081 TEGARDEN, SAN LEANDRO, CA 94577-5720
(510) 347-4620
(510) 486-4486
Mailing address
3081 TEGARDEN STREET, SAN LEANDRO, CA 94577-5720
(510) 347-4620
(510) 486-4486
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
12/23/2013
Last updated
04/01/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us