Provider Demographics
NPI:1851332167
Name:CURRY SENIOR CENTER
Entity Type:Organization
Organization Name:CURRY SENIOR CENTER
Other - Org Name:NORTH OF MARKET SENIOR
Other - Org Type:Other Name
Authorized Official - Title/Position:HOSP ASSOC ADMIN PATIENT FINAN SVC
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUEVARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-206-3286
Mailing Address - Street 1:1001 POTRERO AVENUE
Mailing Address - Street 2:BUILDING 10 WARD 14 ROOM 1405
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110
Mailing Address - Country:US
Mailing Address - Phone:415-203-8338
Mailing Address - Fax:206-206-3837
Practice Address - Street 1:333 TURK STREET
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102
Practice Address - Country:US
Practice Address - Phone:415-885-2274
Practice Address - Fax:415-885-2344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFHC70072FMedicaid
CAFHC70072FMedicaid