Organization
ALAMEDA HEALTH SYSTEM
Active
Other names
Aids Waiver Case Management
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE JENSEN (VP OF REVENUE CYCLE)
(510) 618-2147
Entity
Organization
Contact information
Practice address
15400 FOOTHILL BLVD, BLDG E, SAN LEANDRO, CA 94578-1009
(510) 895-7230
(510) 895-4231
Mailing address
15400 FOOTHILL BLVD, SAN LEANDRO, CA 94578-1009
(510) 895-7344
(510) 895-7229
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AYD000110
—
CA
Enumeration date
04/10/2007
Last updated
05/27/2016
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