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NPI Code Detail

MEDICARE: CITY & COUNTY OF SAN FRANCISCO

MEDICARE: CITY & COUNTY OF SAN FRANCISCO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2261QP2300XPrimary Care Clinic/Center
3261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588606206
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITY & COUNTY OF SAN FRANCISCO
Provider Business Mailing Address
First Line : 1001 POTRERO AVE
Second Line : BUILDING 20 WARD 24
City : SAN FRANCISCO
State : CA
Zip : 94110-3518
Country : US
Telephone Number : 415-206-8448
Fax Number : 206-206-3837
Provider Business Practice Location Address
First Line : 3850 17TH STREET
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94114-2031
Country : US
Telephone Number : 415-487-7500
Fax Number : 415-558-8221
Authorized Official
Title or Position : DEPUTY DIRECTOR, PFS
Name : TIMOTHY ARNOLD
Credential :
Telephone Number : 415-759-3351
Provider Enumeration Date : 06/11/2006
Last Update Date : 07/01/2025

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Directions to “CITY & COUNTY OF SAN FRANCISCO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.