North East Medical Services - Clement

LBN: North East Medical Services
North East Medical Services - Clement is an health care organization with primary practice located at 1033 Clement St , San Francisco CA 94118-2112. 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. North East Medical Services can be contacted via phone (415) 391-9686, or through Chan, Eddie W. via phone (415) 391-9686.

Contact Information

Primary practice address
1033 Clement St San Francisco CA 94118-2112
Phone: (415) 391-9686
Fax: (415) 433-4726
Website:
Map and Directions
Authorized official contact:
Name: Chan, Eddie W. PHARM.D.
Phone: (415) 391-9686

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 550002073 California

Profile Details

NPI number 1144564899
LBN Legal business name North East Medical Services
DBA Doing business as North East Medical Services - Clement
Authorized official Chan, Eddie W. PHARM.D.
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 19th, 2012
Last updated Nov 19th, 2012 - about 12 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 1144564899 NPPES
California MEDICAID PENDING

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