| Lifelong Medical Care | |
|
150 Harbour Way Richmond CA 94801-3554 | |
| (510) 237-9537 | |
| (510) 981-4191 |
| Full Name | Lifelong Medical Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 150 Harbour Way, Richmond, California |
| Authorized Official Name and Position | David B. Vliet (CEO) |
| Authorized Official Contact | 5109814123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifelong Medical Care Po Box 11247 Berkeley CA 94712-2247 Ph: (510) 981-4100 | Lifelong Medical Care 150 Harbour Way Richmond CA 94801-3554 Ph: (510) 237-9537 |
| NPI Number | 1407973043 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 01/19/2021 |
| Medicare PECOS PAC ID | 2062304538 |
|---|---|
| Medicare Enrollment ID | O20120425000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407973043 | NPI | - | NPPES |
| FHC71108F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 550000122 (California) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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Baart Community Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1313 Cutting Blvd, Richmond, CA 94804 Phone: 510-232-0874 | |
Lifelong Jenkins Pediatric Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Broadway, Suite 4, Richmond, CA 94804 Phone: 510-237-9537 Fax: 510-237-3957 | |
World Ginseng Herb. Co. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3288 Pierce St Ste C 121, Richmond, CA 94804 Phone: 510-559-8897 | |
Lifelong Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Harbour Way S, Richmond, CA 94804 Phone: 510-981-4100 | |
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