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Organization

TIBURCIO VASQUEZ HEALTH CENTER, INC.

Active
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Organization

TIBURCIO VASQUEZ HEALTH CENTER, INC.

Active
Other names
Logan Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREA SCHWAB-GALINDO (CHIEF EXECUTIVE OFFICER)
(510) 460-3855
Entity
Organization

Contact information

Practice address
1800 H ST RM 80, UNION CITY, CA 94587-3321
(510) 471-5907
(510) 476-0404
Mailing address
33255 NINTH ST, UNION CITY, CA 94587
(510) 471-5880
(540) 471-9051

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
140000504STATELICENS
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
FHC70644F
CA
01
HAP70644F
FAMILY PACT SERVICES
CA
Enumeration date
01/11/2007
Last updated
07/06/2021
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