Healthcare Provider Details

I. General information

NPI: 1831529049
Provider Name (Legal Business Name): ALAMEDA HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2013
Last Update Date: 02/14/2023
Certification Date: 02/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2070 CLINTON AVE
ALAMEDA CA
94501-4399
US

IV. Provider business mailing address

15400 FOOTHILL BLVD
SAN LEANDRO CA
94578-1009
US

V. Phone/Fax

Practice location:
  • Phone: 510-522-3700
  • Fax: 510-437-4943
Mailing address:
  • Phone: 510-895-7344
  • Fax: 510-895-7229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number140000002
License Number StateCA

VIII. Authorized Official

Name: SHARI JOHNSON
Title or Position: VP OF REVENUE CYCLE
Credential:
Phone: 510-407-2869