Organization
WASHINGTON TOWNSHIP HOSPITAL DEVELOPMENT CORPORATION
Active
Other names
Washington Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY FARBER (PRESIDENT AND CEO)
(510) 745-6500
Entity
Organization
Contact information
Practice address
2500 MOWRY AVE, SUITE 212, FREMONT, CA 94538-1605
(510) 608-6174
(510) 745-6435
Mailing address
2500 MOWRY AVE, SUITE 212, FREMONT, CA 94538-1605
(510) 608-6174
(510) 745-6435
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
140000653
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70953F
—
CA
01
—
ZZZ01584Z
BLUE SHIELD GROUP PROV#
CA
Enumeration date
07/05/2006
Last updated
03/20/2009
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