Full Name | Techniclinic |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 4351 Broadway, 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 |
---|---|
Techniclinic Po Box 22210 Oakland CA 94623-2210 Ph: (510) 535-4000 | Techniclinic 4351 Broadway Oakland CA 94611-4612 Ph: (510) 879-1907 |
NPI Number | 1013085778 |
---|---|
Provider Enumeration Date | 12/01/2006 |
Last Update Date | 10/17/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013085778 | NPI | - | NPPES |
05-1821 | Other | CA | MEDICARE PART A |
HAP71125F | Other | CA | FPACT |
FHC71125F | Medicaid | CA | |
ZZZ2118Z | Other | CA | MEDICARE PART B |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550000169 (California) | Primary |
261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Secondary |
News Archive
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