Organization
ALAMEDA HEALTH SYSTEM
Active
Other names
NEWARK HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MERRILYN PEQUIGNOT (EXECUTIVE DIR. PROFESSIONAL REVENUE)
(510) 346-1349
Entity
Organization
Contact information
Practice address
6066 CIVIV TERRACE AVENUE, NEWARK, CA 94560-3756
(510) 505-1600
(510) 494-7210
Mailing address
15400 FOOTHILL BLVD, SAN LEANDRO, CA 94578-1009
(510) 895-7344
(510) 895-7229
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
EXEMPT UNDER 12-35B
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BCP11799G
—
CA
Enumeration date
05/30/2007
Last updated
03/04/2016
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