| Loprest Health Center | |
|
555 Minna St San Francisco CA 94103-2831 | |
| (415) 697-0490 | |
| (415) 697-0491 |
| Full Name | Loprest Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 555 Minna St, San Francisco, California |
| Authorized Official Name and Position | Charles E Range (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4155036000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Loprest Health Center 229 7th St San Francisco CA 94103-4003 Ph: (415) 503-6000 | Loprest Health Center 555 Minna St San Francisco CA 94103-2831 Ph: (415) 697-0490 |
| NPI Number | 1528143401 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 04/20/2016 |
| Medicare PECOS PAC ID | 3072644673 |
|---|---|
| Medicare Enrollment ID | O20160421001135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528143401 | NPI | - | NPPES |
| FHC11425F | Medicaid | CA | |
| EAP11425F | Other | EAPC | |
| HAP11425F | Other | CA | FAMPACT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 220000094 (California) | Primary |
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