Organization
BAY AREA COMMUNITY HEALTH
Active
Parent organization
BAY AREA COMMUNITY HEALTH
Other names
Bay Area Community Health - Mowry III Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAY AREA COMMUNITY HEALTH
Authorized official
DR. ZETTIE D PAGE III MD, PH.D, MBA. MSW, (CEO)
(510) 252-6811
Entity
Organization
Contact information
Practice address
1860 MOWRY AVE STE 400, FREMONT, CA 94538-1730
(510) 770-8040
Mailing address
40910 FREMONT BLVD, FREMONT, CA 94538-4375
(510) 770-8040
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
05/07/2021
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