Healthcare Provider Details

I. General information

NPI: 1225059355
Provider Name (Legal Business Name): CITY OF ALAMEDA HEALTH CARE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 08/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2070 CLINTON AVE
ALAMEDA CA
94501-4320
US

IV. Provider business mailing address

2070 CLINTON AVE
ALAMEDA CA
94501-4399
US

V. Phone/Fax

Practice location:
  • Phone: 510-522-3700
  • Fax: 510-814-4005
Mailing address:
  • Phone: 510-522-3700
  • Fax: 510-814-4005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number140000002
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number140000002
License Number StateCA

VIII. Authorized Official

Name: DEBORAH E STEBBINS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 510-522-3700