| Lifelong Brookside Community Health Center San Pablo | |
|
2023 Vale Rd Ste 107 San Pablo CA 94806-3891 | |
| (510) 215-9092 | |
| (510) 412-9867 |
| Full Name | Lifelong Brookside Community Health Center San Pablo |
|---|---|
| Speciality | Clinic/Center |
| Location | 2023 Vale Rd, San Pablo, California |
| Authorized Official Name and Position | Marty Lynch (CEO) |
| Authorized Official Contact | 5109814100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifelong Brookside Community Health Center San Pablo Po Box 11247 Berkeley CA 94712-2247 Ph: (510) 981-4100 | Lifelong Brookside Community Health Center San Pablo 2023 Vale Rd Ste 107 San Pablo CA 94806-3891 Ph: (510) 215-9092 |
| NPI Number | 1487696191 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 06/06/2012 |
| Medicare PECOS PAC ID | 2062304538 |
|---|---|
| Medicare Enrollment ID | O20120424000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487696191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
University Healthcare Alliance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100a San Pablo Town Center, San Pablo, CA 94806 Phone: 510-237-2802 | |
Brookside Community Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2023 Vale Rd, Suite 107, San Pablo, CA 94806 Phone: 510-231-9810 | |
Vituity Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Church Ln, San Pablo, CA 94806 Phone: 510-235-5514 | |
Docs Of The Bay Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2023 Vale Rd Ste 207, San Pablo, CA 94806 Phone: 510-237-1100 | |
Center For Digestive Disorders Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2089 Vale Rd Ste 33, Suite 33, San Pablo, CA 94806 Phone: 510-234-5012 Fax: 510-234-4921 | |
Brookside Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2023 Vale Rd, Suite 107, San Pablo, CA 94806 Phone: 510-215-9092 Fax: 510-215-0362 |