Provider Demographics
NPI:1568716181
Name:ALAMEDA, COUNTY OF
Entity Type:Organization
Organization Name:ALAMEDA, COUNTY OF
Other - Org Name:ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT - CHRONIC DISEASE PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMMUNITY HEALTH SERVICES DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIMI
Authorized Official - Middle Name:
Authorized Official - Last Name:WATKINS-TARTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-208-5902
Mailing Address - Street 1:7200 BANCROFT AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-2403
Mailing Address - Country:US
Mailing Address - Phone:510-577-7081
Mailing Address - Fax:510-383-5183
Practice Address - Street 1:7200 BANCROFT AVE STE 202
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-2471
Practice Address - Country:US
Practice Address - Phone:510-577-7081
Practice Address - Fax:510-383-5183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-05
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare