South County Wellness Center

LBN: Bay Area Community Services Inc
South County Wellness Center is an health care organization with primary practice located at 40963 Grimmer Blvd , Fremont CA 94538-2846. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Bay Area Community Services Inc can be contacted via phone (510) 657-7425, or through Ward, Michael Stanton via phone (510) 545-9763.

Contact Information

Primary practice address
40963 Grimmer Blvd Fremont CA 94538-2846
Phone: (510) 657-7425
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ward, Michael Stanton
Phone: (510) 545-9763

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1104036383
LBN Legal business name Bay Area Community Services Inc
DBA Doing business as South County Wellness Center
Authorized official Ward, Michael Stanton
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated Jan 29th, 2024 - about 11 months 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 1104036383 NPPES
California MEDICAID 01GS1

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