Organization
NATIVE AMERICAN HEALTH CENTER, INC
Active
Parent organization
NATIVE AMERICAN HEALTH CENTER INC
Other names
Urban Indian Health Board
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIVE AMERICAN HEALTH CENTER INC
Authorized official
JERUSHA NORMAN (REVENUE CYCLE SUPERVISOR)
(510) 485-5941
Entity
Organization
Contact information
Practice address
160 CAPP ST, SAN FRANCISCO, CA 94110
(415) 621-1170
(415) 255-7527
Mailing address
3124 INTERNATIONAL BLVD, ROOM 314, OAKLAND, CA 94601-2228
(510) 434-5379
(510) 261-1841
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
220000207
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811185259
—
CA
01
—
EAP11429F
EAPC
CA
05
—
FHC11429F
—
CA
01
—
HAP11429F
SOFP
CA
Enumeration date
10/10/2007
Last updated
05/15/2018
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