| Ravenswood Family Health Center | |
|
1798 Bay Rd # A East Palo Alto CA 94303-1611 | |
| (650) 330-7400 | |
| (650) 321-1156 |
| Full Name | Ravenswood Family Health Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1798 Bay Rd # A, East Palo Alto, California |
| Authorized Official Name and Position | Wayne Yost (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6503307400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ravenswood Family Health Center 1798 Bay Rd # A East Palo Alto CA 94303-1611 Ph: (650) 330-7400 | Ravenswood Family Health Center 1798 Bay Rd # A East Palo Alto CA 94303-1611 Ph: (650) 330-7400 |
| NPI Number | 1376697482 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 06/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376697482 | NPI | - | NPPES |
| 4CDJ56M23R2107497 | Other | CA | VIN |
| FHC70935F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 05245 (California) | Primary |
San Mateo County Health System Bhrs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2415 University Ave Ste 3, East Palo Alto, CA 94303 Phone: 650-363-4030 | |
Ravenswood Family Health Center Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1885 Bay Rd, East Palo Alto, CA 94303 Phone: 650-330-7400 Fax: 650-321-1560 |