| Hammock Health Incorporated | |
|
166 Geary St Ste 1500 #1717 San Francisco CA 94108 | |
| (415) 745-2855 | |
| Not Available |
| Full Name | Hammock Health Incorporated |
|---|---|
| Speciality | Clinic/Center |
| Location | 166 Geary St, San Francisco, California |
| Authorized Official Name and Position | Jack Buchanan (CO-FOUNDER) |
| Authorized Official Contact | 4157452855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hammock Health Incorporated 166 Geary St Ste 1500 #1717 San Francisco CA 94108 Ph: (415) 745-2855 | Hammock Health Incorporated 166 Geary St Ste 1500 #1717 San Francisco CA 94108 Ph: (415) 745-2855 |
| NPI Number | 1881410942 |
|---|---|
| Provider Enumeration Date | 11/22/2024 |
| Last Update Date | 11/22/2024 |
| Certification Date | 11/22/2024 |
| Medicare PECOS PAC ID | 0345777850 |
|---|---|
| Medicare Enrollment ID | O20241223001575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881410942 | NPI | - | NPPES |
| 1093343014 | Other | CA | NPI |
| 1356978639 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Michael Thanh Dinh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356978639 PECOS PAC ID: 8022411016 Enrollment ID: I20230502001633 |
| Provider Name | Jack Hale Buchanan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093343014 PECOS PAC ID: 8426449554 Enrollment ID: I20240917001897 |
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