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Organization

BAY AREA COMMUNITY HEALTH

Active
Parent organization
BAY AREA COMMUNITY HEALTH
Other names
Bay Area Community Health - Independence High School Clinic, Santee-Yerba Buena Community Health Center, Bay Area Community Health - Silver Creek High School Clinic, BAY AREA COMMUNITY HEALTH - MOMENTUM AT THE ALAMEDA, Bay Area Community Health Irvington Dave Clinic II - Medical Services, Bay Area Community Health - Momentum at the Crossroads, Bay Area Community Health - Andrew Hill High School, Bay Area Community Health Irvington Dave Clinic II, Bay Area Community Health - Glen View Clinic, BACH School Mobile Health Clinic II, San Jose BACH Family Community Clinic, Inc, Bay Area Community Health - Irvington Dave Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
BAY AREA COMMUNITY HEALTH
Authorized official
DR. ZETTIE D PAGE III (CEO)
(510) 623-8926
Entity
Organization

Contact information

Practice address
40910 FREMONT BLVD, FREMONT, CA 94538-4375
(510) 770-8133
Mailing address
40910 FREMONT BLVD, FREMONT, CA 94538-4375
(510) 252-5880

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1780054379
CA
01
550003720
LICENSE #
CA
Enumeration date
09/25/2015
Last updated
02/02/2022
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