Eastmont Wellness Center

LBN: Alameda Health System
Eastmont Wellness Center is an health care organization with primary practice located at 6955 Foothill Blvd Suite 200 , Oakland CA 94605-2409. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Alameda Health System can be contacted via phone (510) 567-5704, or through Miranda, Kim via phone (510) 618-2147.

Contact Information

Primary practice address
6955 Foothill Blvd Suite 200 Oakland CA 94605-2409
Phone: (510) 567-5704
Fax: (510) 568-0225
Website:
Map and Directions
Authorized official contact:
Name: Miranda, Kim
Phone: (510) 618-2147

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X EXEMPT UNDER 12-35B California

Profile Details

NPI number 1104959089
LBN Legal business name Alameda Health System
DBA Doing business as Eastmont Wellness Center
Authorized official Miranda, Kim
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Jul 5th, 2023 - about last year

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 1104959089 NPPES
California Other 10449 HF ACCESS DNTL - EASTMNT
California Other G01016-03 HF ACCESS DNTL - EASTMNT
California MEDICAID FHC11783G HF ACCESS DNTL - EASTMNT
California Other 000001116 HF ACCESS DNTL - EASTMNT
California MEDICAID BCP11783G HF ACCESS DNTL - EASTMNT
California MEDICAID HAP11783G HF ACCESS DNTL - EASTMNT

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