SOUTH COUNTY COMMUNITY HEALTH CENTER INC. NPI 1376697482

NPI Information

SOUTH COUNTY COMMUNITY HEALTH CENTER INC. is a primary care clinic center in East Palo Alto, CA. SOUTH COUNTY COMMUNITY HEALTH CENTER INC. NPI is 1376697482. The provider is registered as an organization entity type.
The provider Is Doing Business As Ravenswood Family Health Center.

The provider's business location address is:

1798 BAY RD # A
EAST PALO ALTO, CA
ZIP 94303-611
Phone: (650) 330-7400
Fax: (650) 321-1156

The provider's authorized official is Wayne Yost .
The authorized official title is Chief Financial Officer and has the following contact phone number (650) 330-7400.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 6/11/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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