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Bay Area Community Health

Clinic/Center, Federally Qualified Health Center (FQHC) in Fremont, CA. Organization (NPI-2).

NPI number1659967321
StatusActive
Last updated in NPPESMay 7, 2021

Details

NPI
1659967321
Entity type
Organization (NPI-2)
Legal business name
Bay Area Community Health
Organization subpart
No
Enumeration date
Dec 17, 2020
Certification date
May 7, 2021
Last updated
May 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)––Yes

Other names

  • Bay Area Community Health Irvington Dave Clinic II - Medical Services (Doing Business As)

Practice location

40930 Fremont Blvd
Fremont, CA 94538-4375

Phone 510-770-8040

Mailing address

40910 Fremont Blvd
Fremont, CA 94538-4375

Authorized official

Jagat Sheth
Cfo
5102526810

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