Provider Demographics
NPI:1366623316
Name:ALAMEDA COUNTY HEALTH CARE SERVICES AGENCY
Entity Type:Organization
Organization Name:ALAMEDA COUNTY HEALTH CARE SERVICES AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HCSA FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ACACIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-618-1910
Mailing Address - Street 1:1000 SAN LEANDRO BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94577-1675
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1000 SAN LEANDRO BLVD.
Practice Address - Street 2:SUITE 300
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577-1675
Practice Address - Country:US
Practice Address - Phone:510-667-7999
Practice Address - Fax:510-351-1367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
No251K00000XAgenciesPublic Health or Welfare