Organization
BAART COMMUNITY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization
Contact information
Practice address
1111 MARKET ST FL 1, SAN FRANCISCO, CA 94103-1513
(415) 863-3883
(415) 863-1949
Mailing address
1720 LAKEPOINTE DR STE 117, LEWISVILLE, TX 75057-6425
(215) 379-3300
(214) 853-9018
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
220000474
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0990688
CLIA
CA
Enumeration date
09/14/2012
Last updated
07/29/2024
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