Organization
BAY AREA COMMUNITY HEALTH
Active
Parent organization
BAY AREA COMMUNITY HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAY AREA COMMUNITY HEALTH
Authorized official
JAGAT SHETH (CHIEF FINANCIAL OFFICER)
(510) 252-6810
Entity
Organization
Contact information
Practice address
2680 S WHITE RD STE 260, SAN JOSE, CA 95148-2080
(408) 755-3905
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598209868
—
CA
Enumeration date
05/11/2020
Last updated
07/16/2020
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