Haight Ashbury Free Clinic
LBN: Healthright 360
Haight Ashbury Free Clinic is an health care organization with primary practice located at 558 Clayton St , San Francisco CA 94117-2907. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Healthright 360 can be contacted via phone (415) 226-1775, or through Eisen, Vitka via phone (415) 762-3700.
Contact Information
Primary practice address
558 Clayton St
San Francisco CA 94117-2907
Phone: (415) 226-1775
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 220000030 | California |
Profile Details
| NPI number | 1760427843 |
|---|---|
| LBN Legal business name | Healthright 360 |
| DBA Doing business as | Haight Ashbury Free Clinic |
| Authorized official | Eisen, Vitka MSW, ED.D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Mar 1st, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760427843 | NPPES |
| California | MEDICAID | 11599F |
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