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NPI Code Detail

MEDICARE: TELCARE CORPORATION

MEDICARE: TELCARE CORPORATION
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
1283Q00000XPsychiatric HospitalDMH 02016033CA

General Provider Information

NPI Number : 1194813717
Entity Type Code : Organization
Provider Name (Legal Business Name) : TELCARE CORPORATION
Provider Business Mailing Address
First Line : 1080 MARINA VILLAGE PKWY STE 100
Second Line :
City : ALAMEDA
State : CA
Zip : 94501-1078
Country : US
Telephone Number : 510-337-7950
Fax Number :
Provider Business Practice Location Address
First Line : 101 CIRBY HILLS DR STE 4
Second Line :
City : ROSEVILLE
State : CA
Zip : 95678-4360
Country : US
Telephone Number : 916-787-8900
Fax Number : 916-787-8919
Authorized Official
Title or Position : SVP, CFO
Name : LESLIE DAVIS
Credential :
Telephone Number : 510-337-7950
Provider Enumeration Date : 10/10/2006
Last Update Date : 03/14/2018

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Directions to “TELCARE CORPORATION ” Practice Location

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