Healthcare Provider Details

I. General information

NPI: 1003171828
Provider Name (Legal Business Name): ALAMEDA COUNTY PUBLIC HEALTH NURSING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2012
Last Update Date: 07/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24085 AMADOR
HAYWARD CA
94544
US

IV. Provider business mailing address

24085 AMADOR ST
HAYWARD CA
94544-1222
US

V. Phone/Fax

Practice location:
  • Phone: 510-670-8459
  • Fax: 510-670-8466
Mailing address:
  • Phone: 510-670-5459
  • Fax: 510-670-8466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number751804
License Number StateCA

VIII. Authorized Official

Name: ANGELA BALL
Title or Position: DIRECTOR OF NURSING ALAMEDA COUNTY
Credential: RN, MSN, MPH
Phone: 510-208-5944