Organization
BAY AREA COMMUNITY HEALTH
Active
Parent organization
BAY AREA COMMUNITY HEALTH
Other names
Montpelier Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAY AREA COMMUNITY HEALTH
Authorized official
JAGAT SHETH (CHIEF FINANCIAL OFFICER)
(510) 252-6810
Entity
Organization
Contact information
Practice address
2380 MONTPELIER DR STE 200, SAN JOSE, CA 95116-1620
(408) 729-9700
Mailing address
40910 FREMONT BLVD, FREMONT, CA 94538-4375
(510) 770-8040
(510) 770-8141
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689950248
—
CA
Enumeration date
06/11/2020
Last updated
05/07/2021
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