Axis Community Health Inc

LBN: Axis Community Health Inc
Axis Community Health Inc is an health care organization with primary practice located at 4361 Railroad Ave , Pleasanton CA 94566-6611. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Axis Community Health Inc can be contacted via phone (925) 462-5544, or through Compton, Sue via phone (925) 462-1755.

Contact Information

Primary practice address
4361 Railroad Ave Pleasanton CA 94566-6611
Phone: (925) 462-5544
Fax: (925) 201-6016
Website:
Map and Directions
Authorized official contact:
Name: Compton, Sue
Phone: (925) 462-1755

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X 140000043 California
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X A0610721 California

Profile Details

NPI number 1669403390
LBN Legal business name Axis Community Health Inc
DBA Doing business as
Authorized official Compton, Sue
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Feb 17th, 2022 - about 2 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 1669403390 NPPES
California MEDICAID FHC11593F

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