Provider Demographics
NPI:1144344219
Name:COMMUNITY HEALTH CENTER NETWORK
Entity type:Organization
Organization Name:COMMUNITY HEALTH CENTER NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:BLAKE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, MHA, CPHQ
Authorized Official - Phone:510-297-0200
Mailing Address - Street 1:101 CALLAN AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94577-4500
Mailing Address - Country:US
Mailing Address - Phone:510-297-0200
Mailing Address - Fax:510-297-0209
Practice Address - Street 1:101 CALLAN AVE STE 300
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577-4500
Practice Address - Country:US
Practice Address - Phone:510-297-0200
Practice Address - Fax:510-297-0209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes302R00000XManaged Care OrganizationsHealth Maintenance OrganizationGroup - Single Specialty