Organization
BAY AREA COMMUNITY HEALTH
Active
Parent organization
BAY AREA COMMUNITY HEALTH
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, (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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
140000586
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140000586
CLINIC LICENSE
CA
05
—
HAP70829F
—
CA
Enumeration date
04/12/2007
Last updated
07/16/2020
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