1588804355 NPI number — ALAMEDA HOSPITAL PHYSICANS, A COMMUNITY CLINIC

Table of content: (NPI 1588804355)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588804355 NPI number — ALAMEDA HOSPITAL PHYSICANS, A COMMUNITY CLINIC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALAMEDA HOSPITAL PHYSICANS, A COMMUNITY CLINIC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588804355
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/07/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2070 CLINTON AVE
Provider Second Line Business Mailing Address:
C/O CHIEF FINANCIAL OFFICER
Provider Business Mailing Address City Name:
ALAMEDA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94501-4399
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
510-814-4000
Provider Business Mailing Address Fax Number:
510-814-4005

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
501 S SHORE CTR W
Provider Second Line Business Practice Location Address:
STE F
Provider Business Practice Location Address City Name:
ALAMEDA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94501-5762
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-814-4000
Provider Business Practice Location Address Fax Number:
510-814-4356
Provider Enumeration Date:
03/05/2009

Additional Information

Authorized Official

Authorized Official Last Name:
STEBBINS
Authorized Official First Name:
DEBORAH
Authorized Official Middle Name:
E.
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
510-814-4000

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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