Provider Demographics
NPI:1326781303
Name:LINCOLN
Entity Type:Organization
Organization Name:LINCOLN
Other - Org Name:HOPE CC ANTIOCH MIDDLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF QUALITY AND EVALUATION
Authorized Official - Prefix:
Authorized Official - First Name:CARMENCITA
Authorized Official - Middle Name:
Authorized Official - Last Name:BALINGIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-273-4700
Mailing Address - Street 1:1266 14TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-2247
Mailing Address - Country:US
Mailing Address - Phone:510-852-0130
Mailing Address - Fax:
Practice Address - Street 1:1500 D ST
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-2346
Practice Address - Country:US
Practice Address - Phone:925-779-7400
Practice Address - Fax:925-779-7414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-18
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health