Organization
ALAMEDA HEALTH SYSTEM
Active
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) 895-4200
(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
3336I0012X
Institutional Pharmacy
HPE40904
CA
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0562024
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHB356020
—
CA
Enumeration date
12/29/2006
Last updated
05/27/2016
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