Organization
NATIVE AMERICAN HEALTH CENTER INC
Active
Parent organization
NATIVE AMERICAN HEALTH CENTER INC
Other names
Native American Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIVE AMERICAN HEALTH CENTER INC
Authorized official
LORI ANTOINE (DIRECTOR REGISTRATION AND BILLING)
(510) 485-5942
Entity
Organization
Contact information
Practice address
160 CAPP ST, SAN FRANCISCO, CA 94110-1210
(415) 417-3597
(415) 503-1081
Mailing address
3124 INTERNATIONAL BLVD, ROOM 314, OAKLAND, CA 94601-2902
(510) 434-5379
(510) 261-1841
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR#2061SM#059036
URBAN TRAILS SAN FRANCISCO
CA
Enumeration date
08/08/2013
Last updated
04/04/2023
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