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Contact Information

TIDES CENTERINIC
1833 FILLIMORE ST
SAN FRANCISCO, CA94115
 Phone: 415-379-7800
 Fax: 415-379-7804
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for TIDES CENTERINIC

NPI Number 1093709206
LBN Legal business name TIDES CENTERINIC
Authorized official CARLINA HANSEN - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/01/2005
Last updated 03/12/2013 - About 13 years ago
Identifiers
CA License # 220000401
CA Medicaid CMM70896F
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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