Roosevelt Health Center
LBN: La Clinica De La Raza, Inc.
Roosevelt Health Center is an health care organization with primary practice located at 1926 - 19Th Avenue , Oakland CA 94606-4126. 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 / Student Health. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
La Clinica De La Raza, Inc. can be contacted via phone (510) 879-2953, or through Garcia, Jane via phone (510) 535-4000.
Contact Information
Primary practice address
1926 - 19Th Avenue
Oakland CA 94606-4126
Phone: (510) 879-2953
Fax: (510) 879-2956
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 550000036 | California |
Ambulatory Health Care Facilities / Student Health | 261QS1000X |
Profile Details
NPI number | 1851522015 |
---|---|
LBN Legal business name | La Clinica De La Raza, Inc. |
DBA Doing business as | Roosevelt Health Center |
Authorized official | Garcia, Jane |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 5th, 2009 |
Last updated | Oct 17th, 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 | 1851522015 | NPPES |
California | MEDICAID | 1851522015 | |
California | Other | 1851522015 |
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