Organization
BAY AREA COMMUNITY HEALTH
Active
Parent organization
BAY AREA COMMUNITY HEALTH
Other names
Mowry I
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAY AREA COMMUNITY HEALTH
Authorized official
JAGHET SHETH (CEO)
(510) 252-5808
Entity
Organization
Contact information
Practice address
2299 MOWRY AVE STE 3B, FREMONT, CA 94538-1621
(510) 770-8133
(510) 713-6682
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
140000481
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140000481
LICENSE #
—
05
—
FHC70603F
—
CA
Enumeration date
04/11/2007
Last updated
07/15/2020
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