| Alta Bates Summit Medical Center | |
|
2001 Dwight Way Berkeley CA 94704-2608 | |
| (510) 204-4444 | |
| Not Available |
| Full Name | Alta Bates Summit Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2001 Dwight Way, Berkeley, California |
| Authorized Official Name and Position | John Gates (CFO SHBA) |
| Authorized Official Contact | 5104507357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alta Bates Summit Medical Center Po Box 742920 Los Angeles CA 90074-2920 Ph: (855) 398-1633 | Alta Bates Summit Medical Center 2001 Dwight Way Berkeley CA 94704-2608 Ph: (510) 204-4444 |
| NPI Number | 1922180827 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 04/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922180827 | NPI | - | NPPES |
| ZZR000305F | Medicaid | CA | |
| HSC00305F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 140000004 (California) | Primary |
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