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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
1261QF0400XFederally Qualified Health Center (FQHC)
2261QP2300XPrimary Care Clinic/Center

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 : 1053351916
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 : BLDG 20 WARD 24
City : SAN FRANCISCO
State : CA
Zip : 94110-3518
Country : US
Telephone Number : 415-206-8338
Fax Number : 206-206-3837
Provider Business Practice Location Address
First Line : 555 STEVENSON ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94103-1606
Country : US
Telephone Number : 628-217-5800
Fax Number :
Authorized Official
Title or Position : DEPUTY DIRECTOR, PFS
Name : TIMOTHY ARNOLD
Credential :
Telephone Number : 415-759-3351
Provider Enumeration Date : 06/08/2006
Last Update Date : 07/01/2025

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

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