| NPI | 1497021109 |
|---|---|
| Doing Business As | BAY AREA COMMUNITY HEALTH - MAIN STREET VILLAGE |
| Entity Type | Organization |
| Authorized Contact | ZETTIE D PAGE CEO 510-252-6811 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550002016) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2021-05-07 |