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NPI Code Detail

MEDICARE: ALAMEDA HEALTH SYSTEM

MEDICARE: ALAMEDA HEALTH SYSTEM
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)EXEMPT UNDER 12-35BCA

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 : 1114128915
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALAMEDA HEALTH SYSTEM
Provider Business Mailing Address
First Line : 15400 FOOTHILL BLVD
Second Line :
City : SAN LEANDRO
State : CA
Zip : 94578-1009
Country : US
Telephone Number : 510-895-7344
Fax Number : 510-895-7229
Provider Business Practice Location Address
First Line : 664 SOUTHLAND MALL
Second Line :
City : HAYWARD
State : CA
Zip : 94545-2150
Country : US
Telephone Number : 510-266-1700
Fax Number : 510-782-8766
Authorized Official
Title or Position : VP OF REVENUE CYCLE
Name : BERNADETTE JENSEN
Credential :
Telephone Number : 510-618-2147
Provider Enumeration Date : 05/30/2007
Last Update Date : 05/27/2016

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Directions to “ALAMEDA HEALTH SYSTEM ” Practice Location

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