Women'S Community Clinic

LBN: Tides Centerinic
Women'S Community Clinic is an health care organization with primary practice located at 1833 Fillimore St , San Francisco CA 94115. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Tides Centerinic can be contacted via phone (415) 379-7800, or through Hansen, Carlina F. via phone (415) 379-7800.

Contact Information

Primary practice address
1833 Fillimore St San Francisco CA 94115
Phone: (415) 379-7800
Fax: (415) 379-7804
Website:
Map and Directions
Authorized official contact:
Name: Hansen, Carlina F.
Phone: (415) 379-7800

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 220000401 California
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1093709206
LBN Legal business name Tides Centerinic
DBA Doing business as Women'S Community Clinic
Authorized official Hansen, Carlina F.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2005
Last updated Mar 12th, 2013 - about 11 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 1093709206 NPPES
California MEDICAID CMM70896F

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