Organization
ALAMEDA HEALTH SYSTEM
Active
Other names
John George Psychiatric Pavilion
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE JENSEN (VP OF REVENUE CYCLE)
(510) 618-2147
Entity
Organization
Contact information
Practice address
2060 FAIRMONT DR, SAN LEANDRO, CA 94578-1001
(800) 878-1313
Mailing address
15400 FOOTHILL BLVD, SAN LEANDRO, CA 94578-1009
(510) 895-7344
(510) 895-7229
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
140000046
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000101
—
CA
Enumeration date
04/24/2007
Last updated
05/27/2016
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