Brookside Community Health Center, Inc | |
2023 Vale Rd Suite 107 San Pablo CA 94806-3834 | |
(510) 231-9810 | |
Not Available |
Full Name | Brookside Community Health Center, Inc |
---|---|
Speciality | Clinic/center - Community Health |
Location | 2023 Vale Rd, San Pablo, California |
Authorized Official Name and Position | Lucinda Brannon Bazile (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5102319810 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brookside Community Health Center, Inc 2023 Vale Rd Suite 107 San Pablo CA 94806-3834 Ph: (510) 231-9810 | Brookside Community Health Center, Inc 2023 Vale Rd Suite 107 San Pablo CA 94806-3834 Ph: (510) 231-9810 |
NPI Number | 1336321413 |
---|---|
Provider Enumeration Date | 11/30/2007 |
Last Update Date | 02/06/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336321413 | NPI | - | NPPES |
STATE IDENT NUMBER | Other | CA | EAPC70699F |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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Lifelong Brookside Community Health Center San Pablo Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2023 Vale Rd, Ste 107, San Pablo, CA 94806 Phone: 510-215-9092 Fax: 510-412-9867 | |
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Docs Of The Bay Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2023 Vale Rd Ste 207, San Pablo, CA 94806 Phone: 510-237-1100 | |
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Brookside Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2023 Vale Rd, Suite 107, San Pablo, CA 94806 Phone: 510-215-9092 Fax: 510-215-0362 |