Organization
NATIVE AMERICAN HEALTH CENTER INC
Active
Parent organization
NATIVE AMERICAN HEALTH CENTER
Other names
Urban Indian Health Board
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIVE AMERICAN HEALTH CENTER
Authorized official
ADRIAN A MARCUS-FLORES (CREDENTIALING & LICENSING ASSOCIATE)
(510) 485-5906
Entity
Organization
Contact information
Practice address
2950 INTERNATIONAL BLVD, ROOM 101, OAKLAND, CA 94601-2228
(510) 485-5948
(510) 485-5949
Mailing address
2920 INTERNATIONAL BLVD, ROOM 101, OAKLAND, CA 94601-2228
(510) 485-5948
(510) 485-5949
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261Q00000X
Clinic/Center
140000155
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
140000155
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689863516
—
CA
05
—
FHC11743F
—
CA
01
—
HAP11743F
SOFP
CA
Enumeration date
10/16/2007
Last updated
03/30/2022
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