| South County Community Health Center, Inc. | |
|
100 Terminal Ave Menlo Park CA 94025-1246 | |
| (650) 321-0980 | |
| (650) 321-0988 |
| Full Name | South County Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 100 Terminal Ave, Menlo Park, California |
| Authorized Official Name and Position | Wayne Yost (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6503307407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South County Community Health Center, Inc. 1798 A Bay Rd East Palo Alto CA 94303-1611 Ph: (650) 330-7400 | South County Community Health Center, Inc. 100 Terminal Ave Menlo Park CA 94025-1246 Ph: (650) 321-0980 |
| NPI Number | 1073640918 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 10/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073640918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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