Organization
HEALTHRIGHT 360
Active
Organization
HEALTHRIGHT 360
Active
Other names
Tenderloin Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
VITKA EISEN (CEO)
(415) 762-3700
Entity
Organization
Contact information
Practice address
330 ELLIS ST, SAN FRANCISCO, CA 94102-2735
(415) 674-6142
(415) 885-8512
Mailing address
1563 MISSION ST, 4TH FLOOR, SAN FRANCISCO, CA 94103-2543
(415) 762-3700
(415) 865-0119
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
220000473
CA
261QP0904X
Federal Public Health Clinic/Center
220000473
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
091070
FQHC UDS
CA
01
—
220000473
COMMUNITY CLINIC LICENSE
CA
Enumeration date
07/19/2006
Last updated
08/21/2017
Update your record
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