Organization
NORTH BEACH CITIZENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTIE FAIRCHILD (EXECUTIVE DIRECTOR)
(415) 772-0918
Entity
Organization
Contact information
Practice address
1034 KEARNY ST, SAN FRANCISCO, CA 94133-4525
(415) 772-0918
(415) 772-8273
Mailing address
1034 KEARNY ST, SAN FRANCISCO, CA 94133-4525
(415) 772-0918
(415) 772-8273
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5874
SF HEALTH PLAN
CA
Enumeration date
04/23/2024
Last updated
04/23/2024
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