Provider Demographics
NPI:1588804355
Name:ALAMEDA HOSPITAL PHYSICANS, A COMMUNITY CLINIC
Entity Type:Organization
Organization Name:ALAMEDA HOSPITAL PHYSICANS, A COMMUNITY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:STEBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-814-4000
Mailing Address - Street 1:2070 CLINTON AVE
Mailing Address - Street 2:C/O CHIEF FINANCIAL OFFICER
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-4399
Mailing Address - Country:US
Mailing Address - Phone:510-814-4000
Mailing Address - Fax:510-814-4005
Practice Address - Street 1:501 S SHORE CTR W
Practice Address - Street 2:STE F
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-5762
Practice Address - Country:US
Practice Address - Phone:510-814-4000
Practice Address - Fax:510-814-4356
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF ALAMEDA HEALTH CARE DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-03-05
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CD211AMedicare UPIN