| Ahs Smh Central County | |
|
433 Callan Ave Ste 301 San Leandro CA 94577-4641 | |
| (510) 986-6830 | |
| (510) 986-6885 |
| Full Name | Ahs Smh Central County |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 433 Callan Ave Ste 301, San Leandro, California |
| Authorized Official Name and Position | George Lee (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 5109866830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahs Smh Central County 818 Webster St Oakland CA 94607-4220 Ph: (510) 986-6830 | Ahs Smh Central County 433 Callan Ave Ste 301 San Leandro CA 94577-4641 Ph: (510) 986-6830 |
| NPI Number | 1669911459 |
|---|---|
| Provider Enumeration Date | 02/14/2017 |
| Last Update Date | 02/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669911459 | NPI | - | NPPES |
| 1447391719 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 140000125 (California) | Primary |
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