Provider Demographics
NPI:1922337641
Name:UNIVERSITY OF SAN FRANCISCO
Entity Type:Organization
Organization Name:UNIVERSITY OF SAN FRANCISCO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ADMINISTRATION
Authorized Official - Prefix:MS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:CZECH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-476-3877
Mailing Address - Street 1:350 PARNASSUS AVE BOX 1207 STE 905
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0001
Mailing Address - Country:US
Mailing Address - Phone:415-476-1451
Mailing Address - Fax:415-476-4800
Practice Address - Street 1:350 PARNASSUS AVE BOX 1207 STE 905
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0001
Practice Address - Country:US
Practice Address - Phone:415-476-1451
Practice Address - Fax:415-476-4800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA110065261QM2500X, 282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No282N00000XHospitalsGeneral Acute Care Hospital