Organization
BAY AREA COMMUNITY HEALTH
Active
Parent organization
BAY AREA COMMUNITY HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAY AREA COMMUNITY HEALTH
Authorized official
JAGAT SHETH (CEO)
(510) 252-5808
Entity
Organization
Contact information
Practice address
39500 LIBERTY ST, FREMONT, CA 94538-2211
(510) 770-8133
(510) 770-8140
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
140000586
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70809F
—
CA
Enumeration date
07/06/2006
Last updated
07/15/2020
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