Organization
BUILDING OPPORTUNITIES FOR SELF-SUFFICIENCY
Active
Other names
BOSS Shelter Network MAA
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD IVY FRAZIER (EXECUTIVE DIRECTOR)
(510) 649-1935
Entity
Organization
Contact information
Practice address
258 W A ST, HAYWARD, CA 94541-4850
(510) 732-5956
(510) 732-5954
Mailing address
1918 UNIVERSITY AVE STE 2A, BERKELEY, CA 94704-3263
(510) 649-1930
(510) 649-0627
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8134
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
05/25/2007
Last updated
01/02/2019
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