Organization
ALAMEDA HEALTH SYSTEM
Active
Other names
HAYWARD WELLNESS CNETER
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE JENSEN (VP OF REVENUE CYCLE)
(510) 618-2147
Entity
Organization
Contact information
Practice address
664 SOUTHLAND MALL, HAYWARD, CA 94545-2150
(510) 266-1700
(510) 782-8766
Mailing address
15400 FOOTHILL BLVD, SAN LEANDRO, CA 94578-1009
(510) 895-7344
(510) 895-7229
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
EXEMPT UNDER 12-35B
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HAP11797G
—
CA
Enumeration date
05/30/2007
Last updated
05/27/2016
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