COUNTY OF ALAMEDA HEALTH CARE SERVICES AGENCY NPI 1407109986

NPI Information

COUNTY OF ALAMEDA HEALTH CARE SERVICES AGENCY is a public health and state or local clinic center in Oakland, CA. COUNTY OF ALAMEDA HEALTH CARE SERVICES AGENCY NPI is 1407109986. The provider is registered as an organization entity type.
The provider Other Name Is Trust Clinic -- Alameda County Health Care For The Homeless Program.

The provider's business location address is:

384 14TH ST
OAKLAND, CA
ZIP 94612-211
Phone: (510) 532-1930
Fax: (510) 532-0963

The provider's authorized official is David W. Modersbach .
The authorized official title is Director and has the following contact phone number (510) 532-1930.

The enumeration date for this NPI number is 10/20/2012 and was last updated on 3/20/2015.

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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