Organization
BAY AREA COMMUNITY HEALTH
Active
Parent organization
BAY AREA COMMUNITY HEALTH
Other names
Bay Area Community Health Irvington Dave Clinic II
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAY AREA COMMUNITY HEALTH
Authorized official
JAGAT SHETH MBA (CFO)
(510) 252-6810
Entity
Organization
Contact information
Practice address
40924 FREMONT BLVD, FREMONT, CA 94538-4375
(510) 252-6810
Mailing address
40910 FREMONT BLVD, FREMONT, CA 94538-4375
(510) 252-6810
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780054379
—
CA
01
—
550003720
LICENSE #
—
Enumeration date
08/10/2018
Last updated
05/07/2021
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