| Axis Community Health | |
|
4361 Railroad Ave Pleasanton CA 94566-6611 | |
| (925) 462-1755 | |
| Not Available |
| Full Name | Axis Community Health |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4361 Railroad Ave, Pleasanton, California |
| Authorized Official Name and Position | Sue Compton (CEO) |
| Authorized Official Contact | 9254621755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Axis Community Health 4361 Railroad Ave Pleasanton CA 94566-6611 Ph: (925) 462-1755 | Axis Community Health 4361 Railroad Ave Pleasanton CA 94566-6611 Ph: (925) 462-1755 |
| NPI Number | 1114144359 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 03/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114144359 | NPI | - | NPPES |
| BCP11593F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | BCP11593F (California) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | A0610721 (California) | Primary |
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