Organization
BAY AREA COMMUNITY HEALTH
Active
Parent organization
BAY AREA COMMUNITY HEALTH
Other names
TCHC Senior Mobile Health Clinic # I, TCHC Mobile Health Clinic #4, TCHC Dental Mobile CHOMP #V
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAY AREA COMMUNITY HEALTH
Authorized official
DR. ZETTIE D PAGE III MD, PH.D, MBA, MSW (CEO)
(510) 252-6811
Entity
Organization
Contact information
Practice address
1999 MOWRY AVENUE, FREMONT, CA 94538-1436
(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
550000139
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550000139
CLINIC LICENSE
CA
05
—
HAP711115F
—
CA
Enumeration date
04/12/2007
Last updated
07/15/2020
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