| South County Community Health Center, Inc. | |
| 
					1885 Bay Rd East Palo Alto CA 94303-1312  | |
| (650) 330-7400 | |
| (650) 321-1560 | 
| Full Name | South County Community Health Center, Inc. | 
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) | 
| Location | 1885 Bay Rd, East Palo Alto, California | 
| Authorized Official Name and Position | Luisa Buada (CEO) | 
| Authorized Official Contact | 6503307410 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| South County Community Health Center, Inc. 1885 Bay Rd Suite A East Palo Alto CA 94303-1312 Ph: (650) 330-7400  | South County Community Health Center, Inc. 1885 Bay Rd East Palo Alto CA 94303-1312 Ph: (650) 330-7400  | 
| NPI Number | 1245695881 | 
|---|---|
| Provider Enumeration Date | 12/28/2015 | 
| Last Update Date | 02/22/2016 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245695881 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | PHY53775 (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  | |
South County Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1807 Bay Road, East Palo Alto, CA 94303 Phone: 650-330-7407 Fax: 650-321-1560  | |
South County Community Health Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1798 Bay Rd # A, East Palo Alto, CA 94303 Phone: 650-330-7400 Fax: 650-321-1156  |