Ravenswood Family Dentistry

LBN: South County Community Health Center, Inc.
Ravenswood Family Dentistry is an health care organization with primary practice located at 1807 Bay Road , East Palo Alto CA 94303-1312. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Dental is the primary health care specialty. South County Community Health Center, Inc. can be contacted via phone (650) 330-7407, or through Buada, Luisa M. via phone (650) 330-7410.

Contact Information

Primary practice address
1807 Bay Road East Palo Alto CA 94303-1312
Fax: (650) 321-1560
Website:
Authorized official contact:
Name: Buada, Luisa M. RN, MPH

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X APPLIED FOR California
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X APPLIED FOR California

Profile Details

NPI number 1184957771
LBN Legal business name South County Community Health Center, Inc.
DBA Doing business as Ravenswood Family Dentistry
Authorized official Buada, Luisa M. RN, MPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2009
Last updated Aug 31st, 2015 - about 9 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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