| Ravenswood Family Health Center Pharmacy | |
|
1885 Bay Rd East Palo Alto CA 94303-1312 | |
| (650) 330-7400 | |
| (650) 321-1560 |
| Full Name | Ravenswood Family Health Center Pharmacy |
|---|---|
| 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 |
|---|---|
| Ravenswood Family Health Center Pharmacy 1885 Bay Rd Suite A East Palo Alto CA 94303-1312 Ph: (650) 330-7400 | Ravenswood Family Health Center Pharmacy 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 | |
Ravenswood Family Health Center 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 |