Organization
BAY AREA COMMUNITY HEALTH
Active
Organization
BAY AREA COMMUNITY HEALTH
Active
Parent organization
BAY AREA COMMUNITY HEALTH
Other names
Bay Area Community Health - Hope Project, Bay Area Community Health - Liberty Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAY AREA COMMUNITY HEALTH
Authorized official
DR. ZETTIE D PAGE III MD,PH.D,MBA,MSW,MS (CEO)
(510) 252-6811
Entity
Organization
Contact information
Practice address
39500 LIBERTY STREET, FREMONT, CA 94538-2211
(510) 770-8040
(510) 623-8926
Mailing address
40910 FREMONT BLVD, FREMONT, CA 94538-4375
(510) 770-8040
(510) 623-8926
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
140000586
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70809F
—
CA
Enumeration date
11/01/2006
Last updated
04/01/2022
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