Lifelong Jenkins Pediatric Center

LBN: Lifelong Jenkins Pediatric Center
Lifelong Jenkins Pediatric Center is an health care organization with primary practice located at 120 Broadway Suite 4, Richmond CA 94804-1938. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Lifelong Jenkins Pediatric Center can be contacted via phone (510) 237-9537, or through Clark, Rick via phone (510) 981-4122.

Contact Information

Primary practice address
120 Broadway Suite 4 Richmond CA 94804-1938
Phone: (510) 237-9537
Fax: (510) 237-3957
Website:
Map and Directions
Authorized official contact:
Name: Clark, Rick
Phone: (510) 981-4122

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1407109622
LBN Legal business name Lifelong Jenkins Pediatric Center
DBA Doing business as
Authorized official Clark, Rick
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2012
Last updated Oct 25th, 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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