TIDES CENTERINIC – NPI #1093709206
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

TIDES CENTERINIC is an AHC clinic located in SAN FRANCISCO, CA. NPPES has assigned the NPI number 1093709206 to TIDES CENTERINIC on September 01, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. TIDES CENTERINIC is also known by the name WOMEN'S COMMUNITY CLINIC. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 13 years ago on Mar 12, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TIDES CENTERINIC below.

NPI Profile for
TIDES CENTERINIC

NPI Number
1093709206
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TIDES CENTERINIC
Other Name: WOMEN'S COMMUNITY CLINIC
Primary location
1833 FILLIMORE ST
SAN FRANCISCO, CA 94115
Phone: (415) 379-7800 Fax: (415) 379-7804
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CARLINA HANSEN
EXECUTIVE DIRECTOR
Phone: (415) 379-7800
Updated
Identifiers

Identifiers for TIDES CENTERINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCACMM70896F
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)		 CA 220000401

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.