Organization · Type 2 NPI

The Davis Street Community Center Incorporated

Federally Qualified Health Center (FQHC) · San Leandro, CA

NPI number 1215358924 Active

Practice location

3081 Tegarden
San Leandro, CA 94577-5720

Call (510) 347-4620 Map

Fax (510) 486-4486

Mailing address

3081 Tegarden Street
San Leandro, CA 94577-5720

Specialties and licenses

TaxonomyCodeLicense
Community Health Clinic/Center 261QC1500XNone listed
Dental Clinic/Center 261QD0000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1215358924

The Davis Street Community Center Incorporated's National Provider Identifier is 1215358924, issued on Dec 23, 2013. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in San Leandro, CA. The record was last updated on Apr 1, 2020.