Hawthorne Elementary School-based Clinic | |
1700 28th Ave Oakland CA 94601-2455 | |
(510) 535-6440 | |
(510) 436-7490 |
Full Name | Hawthorne Elementary School-based Clinic |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1700 28th Ave, Oakland, California |
Authorized Official Name and Position | Jane Garcia (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5105354000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hawthorne Elementary School-based Clinic Po Box 22210 Oakland CA 94623-2210 Ph: (510) 535-4000 | Hawthorne Elementary School-based Clinic 1700 28th Ave Oakland CA 94601-2455 Ph: (510) 535-6440 |
NPI Number | 1023445780 |
---|---|
Provider Enumeration Date | 09/26/2013 |
Last Update Date | 10/17/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023445780 | NPI | - | NPPES |
FHC71087F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Secondary |
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