Organization
HEALTHRIGHT 360
Active
Other names
Haight Ashbury Free Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VITKA EISEN MSW, ED.D (PRESIDENT & CEO)
(415) 762-3700
Entity
Organization
Contact information
Practice address
558 CLAYTON ST, SAN FRANCISCO, CA 94117-2907
(415) 226-1775
Mailing address
1563 MISSION STREET, 4TH FLOOR, SAN FRANCISCO, CA 94103-2543
(415) 762-3700
(415) 865-0119
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
220000030
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11599F
—
CA
Enumeration date
06/20/2006
Last updated
03/01/2019
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