institution
North East Medical Services
Federally Qualified Health Center (FQHC) in San Jose, California
NPI 1093992844

North East Medical Services is a Federally Qualified Health Center (FQHC) based in San Francisco, CA and is specialized in Federally Qualified Health Center (FQHC). North East Medical Services practices in San Jose, CA. The NPI Number for North East Medical Services is 1093992844 and holds a License No. 550000901 (California).

The current practice location address for North East Medical Services is 1715 Lundy Ave, San Jose, CA and can be reached out via phone at 408-573-9686 and via fax at 408-573-9685.

Location: 1715 Lundy Ave, San Jose, CA, 94133-3354
institution
Provider Profile Details
NPI Number
1093992844
Provider Name
North East Medical Services
Credential
Provider Entity Type
Organization
Address
1715 Lundy Ave, San Jose, CA, 94133-3354
Phone Number
408-573-9686
Fax Number
408-573-9685
Provider Enumeration Date
01/23/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1497993729 05 CA
1265670368 05 CA
1093992844 05 CA
institution
Provider Business Practice Location Address Details
Address
1715 Lundy Ave
City
State
Zip
95131-1837
Phone Number
408-573-9686
Fax Number
408-573-9685
person
Provider Business Mailing Address Details
Address
1715 Lundy Ave
City
State
Zip
95131-1837
Phone Number
408-573-9686
Fax Number
408-573-9685
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
550000901 (California)
Definition
Definition to come...
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