North East Medical Services in San Francisco - Federally Qualified Health Center (fqhc)
North East Medical Services - NPI 1124205182
North East Medical Services is a Federally Qualified Health Center (fqhc) in San Francisco, California. North East Medical Services practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for North East Medical Services is 1124205182. The last update date is 2010-04-30.
North East Medical Services's current location address is 1520 Stockton Street, San Francisco, California. You can contact this provider via phone number 4153919686 and fax number 4154334726. The mailing address for North East Medical Services is 1520 Stockton Street, San Francisco, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | North East Medical Services |
|---|---|
| Address | 1520 Stockton Street, San Francisco, California |
| Phone Number | 4153919686 |
| Fax Number | 4154334726 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Chan W Eddie |
| Credentials | PHARM.D. |
| Telephone Number | 4153919686 |
NPI Number Detail
| NPI Number | 1124205182 |
|---|---|
| Provider Enumeration Date | 2008-01-22 |
| Last Updated Date | 2010-04-30 |
Provider Mailing Address Detail
| Address | 1520 Stockton Street |
|---|---|
| City | San Francisco |
| State | California (CA) |
| Post Code | 941333354 |
| Phone Number | 4153919686 |
| Fax Number | 4154334726 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 550000007 |
|
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 |
|---|---|---|---|
| HAP71085F | CA | -- |
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What is the unique 10-digit identification code issued to North East Medical Services by the Centers for Medicare & Medicaid Services?
The North East Medical Services has been assigned the NPI (National Provider Identifier) 1124205182 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the North East Medical Services located?
The North East Medical Services is located at 1520 Stockton Street, San Francisco, CA 941333354.
What is North East Medical Services's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The North East Medical Services's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
When did North East Medical Services receive its 1124205182 assignment?
The North East Medical Services was assigned its 1124205182 on 2008-01-22, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to North East Medical Services last refreshed?
The information related to the North East Medical Services, including its address, specialty, and other relevant details, was last updated on 2010-04-30.
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