Eastmont Wellness Center

LBN: Alameda Health System
Eastmont Wellness Center is an health care organization with primary practice located at 6955 Foothill Blvd Ste 200 , Oakland CA 94605-2409. 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. Alameda Health System can be contacted via phone (510) 567-5704, or through Jensen, Bernadette via phone (510) 618-2147.

Contact Information

Primary practice address
6955 Foothill Blvd Ste 200 Oakland CA 94605-2409
Fax: (510) 568-0225
Website:
Authorized official contact:
Name: Jensen, Bernadette

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X EXEMPT UNDER 12-35B California

Profile Details

NPI number 1841491644
LBN Legal business name Alameda Health System
DBA Doing business as Eastmont Wellness Center
Authorized official Jensen, Bernadette
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2007
Last updated May 27th, 2016 - about 8 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 1841491644 NPPES
California MEDICAID BCP11783G

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