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NPI Code Detail

MEDICARE: PROGRESS FOUNDATION

MEDICARE: PROGRESS FOUNDATION
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
1320800000XMental Illness Community Based Residential Treatment Facility38560031CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20186803OTHERCAMEDICAL PIN

General Provider Information

NPI Number : 1316001340
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROGRESS FOUNDATION
Provider Business Mailing Address
First Line : 368 FELL ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94102-5144
Country : US
Telephone Number : 415-861-0828
Fax Number : 415-861-0257
Provider Business Practice Location Address
First Line : 2210 CLAY ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-1930
Country : US
Telephone Number : 415-776-4647
Fax Number : 415-776-1018
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : STEVEN FIELDS
Credential : MA
Telephone Number : 415-861-0828
Provider Enumeration Date : 12/21/2006
Last Update Date : 11/13/2022

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Directions to “PROGRESS FOUNDATION ” Practice Location

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