Northeast Community Clinic in Alhambra - Federally Qualified Health Center (fqhc)
Northeast Community Clinic - NPI 1164606414
Northeast Community Clinic is a Federally Qualified Health Center (fqhc) in Alhambra, California. Northeast Community Clinic practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Northeast Community Clinic is 1164606414. The last update date is 2021-10-15.
Northeast Community Clinic's current location address is 2550 W Main St, Alhambra, California. You can contact this provider via phone number 6264576900 and fax number 6264571233. The mailing address for Northeast Community Clinic is 2550 W Main St, Alhambra, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northeast Community Clinic |
|---|---|
| Address | 2550 W Main St, Alhambra, California |
| Phone Number | 6264576900 |
| Fax Number | 6264571233 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Lau Christopher |
| Credentials | M.D. |
| Telephone Number | 6264576900 |
NPI Number Detail
| NPI Number | 1164606414 |
|---|---|
| Provider Enumeration Date | 2007-12-21 |
| Last Updated Date | 2021-10-15 |
Provider Mailing Address Detail
| Address | 2550 W Main St |
|---|---|
| City | Alhambra |
| State | California (CA) |
| Post Code | 918011694 |
| Phone Number | 6264576900 |
| Fax Number | 6264571233 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HAP11584G | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Northeast Community Clinic by the Centers for Medicare & Medicaid Services?
The Northeast Community Clinic has been issued the NPI (National Provider Identifier) 1164606414, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Northeast Community Clinic is located?
The Northeast Community Clinic is situated at the following address: 2550 W Main St, Alhambra, CA, 918011694.
What is Northeast Community Clinic's specialized field of practice, and what is the corresponding taxonomy classification code?
The Northeast Community Clinic's area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
When did the Northeast Community Clinic receive its 1164606414?
The Northeast Community Clinic was issued its 1164606414 on 2007-12-21, which is the date when the organization was assigned this unique identifier.
As of what date were the Northeast Community Clinic's details last updated?
The information pertaining to the Northeast Community Clinic, including its address, specialty, and other details, was most recently updated on 2021-10-15.