Provider Demographics
NPI:1467705319
Name:HAMILTON FAMILY CENTER
Entity Type:Organization
Organization Name:HAMILTON FAMILY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY DIRECTOR, PROGRAMS
Authorized Official - Prefix:MS
Authorized Official - First Name:DEVRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:EDELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-409-2100
Mailing Address - Street 1:1631 HAYES ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-1326
Mailing Address - Country:US
Mailing Address - Phone:415-409-2100
Mailing Address - Fax:415-345-0470
Practice Address - Street 1:1631 HAYES ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-1326
Practice Address - Country:US
Practice Address - Phone:415-409-2100
Practice Address - Fax:415-345-0470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare