Basic Information
| Provider Information | |||||||||
| NPI: | 1588804355 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALAMEDA HOSPITAL PHYSICANS, A COMMUNITY CLINIC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2070 CLINTON AVE | ||||||||
| Address2: | C/O CHIEF FINANCIAL OFFICER | ||||||||
| City: | ALAMEDA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945014399 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5108144000 | ||||||||
| FaxNumber: | 5108144005 | ||||||||
| Practice Location | |||||||||
| Address1: | 501 S SHORE CTR W | ||||||||
| Address2: | STE F | ||||||||
| City: | ALAMEDA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945015762 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5108144000 | ||||||||
| FaxNumber: | 5108144356 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/05/2009 | ||||||||
| LastUpdateDate: | 02/07/2014 | ||||||||
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| AuthorizedOfficialLastName: | STEBBINS | ||||||||
| AuthorizedOfficialFirstName: | DEBORAH | ||||||||
| AuthorizedOfficialMiddleName: | E. | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 5108144000 | ||||||||
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| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | CITY OF ALAMEDA HEALTH CARE DISTRICT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261Q00000X | Y | Ambulatory Health Care Facilities | Clinic/Center |
No ID Information.