Organization
ALAMEDA HEALTH SYSTEM
Active
Other names
FAIRMONT HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE JENSEN (VP OF REVENUE CYCLE)
(510) 618-2147
Entity
Organization
Contact information
Practice address
15400 FOOTHILL BLVD, BLDG E, SAN LEANDRO, CA 94578-1009
(510) 895-7230
(510) 895-4231
Mailing address
15400 FOOTHILL BLVD, SAN LEANDRO, CA 94578-1009
(510) 895-7344
(510) 895-7229
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
140000046
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC70138F
—
CA
Enumeration date
05/30/2007
Last updated
05/27/2016
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