Provider Demographics
NPI:1164105698
Name:SAN MATEO COUNTY FAMILY HEALTH SERVICES
Entity Type:Organization
Organization Name:SAN MATEO COUNTY FAMILY HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT II
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:628-222-3064
Mailing Address - Street 1:801 GATEWAY BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-7401
Mailing Address - Country:US
Mailing Address - Phone:650-616-2500
Mailing Address - Fax:650-616-2598
Practice Address - Street 1:801 GATEWAY BLVD STE 1
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-7401
Practice Address - Country:US
Practice Address - Phone:650-616-2500
Practice Address - Fax:650-616-2598
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF SAN MATEO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-08-10
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management