Brookside Community Health Center, Inc in San Pablo - Community Health
Brookside Community Health Center, Inc - NPI 1336321413
Brookside Community Health Center, Inc is a Community Health in San Pablo, California. Brookside Community Health Center, Inc practices all healthcare services and medical treatments related to Community Health. The NPI Number for Brookside Community Health Center, Inc is 1336321413. The last update date is 2012-02-06.
Brookside Community Health Center, Inc's current location address is 2023 Vale Rd, San Pablo, California. You can contact this provider via phone number 5102319810. The mailing address for Brookside Community Health Center, Inc is 2023 Vale Rd, San Pablo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brookside Community Health Center, Inc |
|---|---|
| Address | 2023 Vale Rd, San Pablo, California |
| Phone Number | 5102319810 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bazile Brannon Lucinda |
| Telephone Number | 5102319810 |
NPI Number Detail
| NPI Number | 1336321413 |
|---|---|
| Provider Enumeration Date | 2007-11-30 |
| Last Updated Date | 2012-02-06 |
Provider Mailing Address Detail
| Address | 2023 Vale Rd |
|---|---|
| City | San Pablo |
| State | California (CA) |
| Post Code | 948063834 |
| Phone Number | 5102319810 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Health |
|---|---|
| Taxonomy | 261Qc1500X |
|
Definition: Provides primary medical, dental, mental health, social and preventive services tailored to its community. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| STATE IDENT NUM | CA | EAPC70699F |
Post Comment/ Review Below
What is the unique identifier code issued to Brookside Community Health Center, Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Brookside Community Health Center, Inc has been assigned the NPI (National Provider Identifier) 1336321413. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Brookside Community Health Center, Inc?
The Brookside Community Health Center, Inc is physically situated at 2023 Vale Rd, in the city of San Pablo, state of CA, with the postal code 948063834.
What is the Brookside Community Health Center, Inc's specialty and taxonomy code?
The Brookside Community Health Center, Inc's specialty is Community Health, and the corresponding taxonomy code is 261Qc1500X.
On what date did the Brookside Community Health Center, Inc receive the assignment of its 1336321413 from the Centers for Medicare & Medicaid Services?
The Brookside Community Health Center, Inc was issued its 1336321413 by the Centers for Medicare & Medicaid Services on 2007-11-30.
When was the information regarding Brookside Community Health Center, Inc most recently updated?
The details pertaining to the Brookside Community Health Center, Inc, including its address, specialty, and other relevant information, were last refreshed on 2012-02-06.
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