Organization
BAY AREA COMMUNITY HEALTH
Active
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
MR. ZETTIE D PAGE III M.D., PH.D, MBA, MSW (CEO)
(510) 252-6811
Entity
Organization
Contact information
Practice address
3607 MAIN ST, SUITE 3B, FREMONT, CA 94538-4390
(510) 770-8040
(510) 623-8926
Mailing address
40910 FREMONT BLVD, FREMONT, CA 94538-4375
(510) 770-8040
(510) 623-8926
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550002016
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550002016
CLINIC LICENSE
CA
Enumeration date
05/13/2015
Last updated
07/16/2020
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