North East Medical Services - Stockton

LBN: North East Medical Services
North East Medical Services - Stockton is an health care organization with primary practice located at 1520 Stockton Street , San Francisco CA 94133-3354. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / Supports Brokerage, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. North East Medical Services can be contacted via phone (415) 391-9686, or through Chan, Eddie W via phone (415) 391-9686.

Contact Information

Primary practice address
1520 Stockton Street San Francisco CA 94133-3354
Phone: (415) 391-9686
Fax: (415) 433-4726
Website:
Map and Directions
Authorized official contact:
Name: Chan, Eddie W PHARM.D.
Phone: (415) 391-9686

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Supports Brokerage 251X00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 220000118 California

Profile Details

NPI number 1518911304
LBN Legal business name North East Medical Services
DBA Doing business as North East Medical Services - Stockton
Authorized official Chan, Eddie W PHARM.D.
Entity Organization
Organization subpart 1 Yes
Enumeration date May 19th, 2006
Last updated Mar 4th, 2022 - about 4 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 1518911304 NPPES
California MEDICAID GR0028720
California MEDICAID EAP11007F
California MEDICAID FHC11007F

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