Organization Name: | ALAMEDA COUNTY HEALTH CARE SERVICES AGENCY/HEALTH CARE FOR HOMELESS |
NPI Number: | 1013231646 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID MODERSBACH (PROGRAM DIRECTOR) |
Mailing Address: | 2272 San Pablo Ave Hchp St.vincent's Stable Site Clinic Oakland |
State: | CA US |
Postal Code: | 946121321 |
Phone Number: | 5105321930 |
Fax Number: | 5105321930 |
NPI Enumeration Date: | 03/25/2010 |
NPI Last Update Date: | 11/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |