Brookside Community Health Center, Inc

LBN: Brookside Community Health Center, Inc
Brookside Community Health Center, Inc is an health care organization with primary practice located at 2023 Vale Rd Suite 107, San Pablo CA 94806-3834. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Brookside Community Health Center, Inc can be contacted via phone (510) 231-9810, or through Bazile, Lucinda Brannon via phone (510) 231-9810.

Contact Information

Primary practice address
2023 Vale Rd Suite 107 San Pablo CA 94806-3834
Phone: (510) 231-9810
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bazile, Lucinda Brannon
Phone: (510) 231-9810

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X

Profile Details

NPI number 1336321413
LBN Legal business name Brookside Community Health Center, Inc
DBA Doing business as
Authorized official Bazile, Lucinda Brannon
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2007
Last updated Feb 6th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336321413 NPPES
California Other STATE IDENT NUMBER EAPC70699F

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