North East Medical Services- Leland

LBN: North East Medical Services
North East Medical Services- Leland is an health care organization with primary practice located at 82 Leland Avenue , San Francisco CA 94134-2804. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / Supports Brokerage, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is 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
82 Leland Avenue San Francisco CA 94134-2804
Phone: (415) 391-9686
Fax: (415) 333-9067
Website:
Map and Directions
Authorized official contact:
Name: Chan, Eddie W PHARMD
Phone: (415) 391-9686

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Supports Brokerage 251X00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 220000359 California

Profile Details

NPI number 1336229194
LBN Legal business name North East Medical Services
DBA Doing business as North East Medical Services- Leland
Authorized official Chan, Eddie W PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2006
Last updated Mar 8th, 2022 - about 4 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 1336229194 NPPES
California MEDICAID FHC70714G
California MEDICAID CMM70714G

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