Davis Street Primary Care Clinic

LBN: The Davis Street Community Center Incorporated
Davis Street Primary Care Clinic is an health care organization with primary practice located at 3081 Tegarden , San Leandro CA 94577-5720. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. The Davis Street Community Center Incorporated can be contacted via phone (510) 347-4620, or through Mcmillen, Rosalia Aquino via phone (510) 347-4620.

Contact Information

Primary practice address
3081 Tegarden San Leandro CA 94577-5720
Phone: (510) 347-4620
Fax: (510) 486-4486
Website:
Map and Directions
Authorized official contact:
Name: Mcmillen, Rosalia Aquino
Phone: (510) 347-4620

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Dental 261QD0000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1215358924
LBN Legal business name The Davis Street Community Center Incorporated
DBA Doing business as Davis Street Primary Care Clinic
Authorized official Mcmillen, Rosalia Aquino
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2013
Last updated Apr 1st, 2020 - about 6 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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