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NORTH EAST MEDICAL SERVICES NPI 1326279852


NPI Information

NPI: 1326279852
Provider Name: NORTH EAST MEDICAL SERVICES

Doing Business As: NORTH EAST MEDICAL SERVICES - SAN BRUNO AVENUE

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
2574 SAN BRUNO AVE
SAN FRANCISCO, CA
ZIP 94134
Phone: (415) 391-9686
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NORTH EAST MEDICAL SERVICES is a federally qualified health center (fqhc) clinic center in San Francisco, CA. NORTH EAST MEDICAL SERVICES NPI is 1326279852. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As North East Medical Services - San Bruno Avenue.

The provider's business location address is:

2574 SAN BRUNO AVE
SAN FRANCISCO, CA
ZIP 94134-505
Phone: (415) 391-9686

The provider's authorized official is Eddie W Chan .
The authorized official title is President & Ceo and has the following contact phone number (415) 391-9686.

The enumeration date for this NPI number is 7/31/2009 and was last updated on 3/8/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171M00000XCase Manager/Care CoordinatorNo
2251X00000XSupports BrokerageNo
3261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)PENDINGCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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