| Havenscourt Health Center | |
|
1390 66th Ave Oakland CA 94621-3506 | |
| (510) 639-1981 | |
| (510) 632-8225 |
| Full Name | Havenscourt Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1390 66th Ave, Oakland, California |
| Authorized Official Name and Position | Jane Garcia (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5105354000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Havenscourt Health Center Po Box 22210 Oakland CA 94623-2210 Ph: (510) 535-4000 | Havenscourt Health Center 1390 66th Ave Oakland CA 94621-3506 Ph: (510) 639-1981 |
| NPI Number | 1245671726 |
|---|---|
| Provider Enumeration Date | 07/11/2013 |
| Last Update Date | 10/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245671726 | NPI | - | NPPES |
| 1245671726 | Medicaid | CA |
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