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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