SOUTH COUNTY COMMUNITY HEALTH CENTER INC. NPI 1245695881

NPI Information

NPI: 1245695881
Provider Name: SOUTH COUNTY COMMUNITY HEALTH CENTER, INC.

Doing Business As: RAVENSWOOD FAMILY HEALTH CENTER PHARMACY

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1885 BAY RD
EAST PALO ALTO, CA
ZIP 94303
Phone: (650) 330-7400
Get Directions

SOUTH COUNTY COMMUNITY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in East Palo Alto, CA. SOUTH COUNTY COMMUNITY HEALTH CENTER, INC. NPI is 1245695881. The provider is registered as an organization entity type.
The provider Is Doing Business As Ravenswood Family Health Center Pharmacy.

The provider's business location address is:

1885 BAY RD
EAST PALO ALTO, CA
ZIP 94303-312
Phone: (650) 330-7400
Fax: (650) 321-1560

The provider's authorized official is Luisa Buada .
The authorized official title is Ceo and has the following contact phone number (650) 330-7410.

The enumeration date for this NPI number is 12/28/2015 and was last updated on 2/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	PHY53775	CALIFORNIA	Yes

What is NPI?

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This page was last updated on: 5/5/2024

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