institution
Indian Health Center Of Santa Clara Valley
Federally Qualified Health Center (FQHC) in San Jose, California
NPI 1114290780

Indian Health Center Of Santa Clara Valley is a Federally Qualified Health Center (FQHC) based in San Jose, CA and is specialized in Federally Qualified Health Center (FQHC). Indian Health Center Of Santa Clara Valley practices in San Jose, CA. The NPI Number for Indian Health Center Of Santa Clara Valley is 1114290780 and holds a License No. 550001941 (California).

The current practice location address for Indian Health Center Of Santa Clara Valley is 455 Oconnor Dr Ste 200, San Jose, CA and can be reached out via phone at 408-445-3400 and via fax at 408-448-1727.

Location: 455 Oconnor Dr Ste 200, San Jose, CA, 95125-5212
institution
Provider Profile Details
NPI Number
1114290780
Provider Name
Indian Health Center Of Santa Clara Valley
Credential
Provider Entity Type
Organization
Address
455 Oconnor Dr Ste 200, San Jose, CA, 95125-5212
Phone Number
408-445-3400
Fax Number
408-448-1727
Provider Enumeration Date
02/13/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G01133-01 01 CA DELTA DENTAL
55-1137 01 CA MEDICARE PALMETTO
FHC11833F 01 CA STATE PROGRAMS
FHC11833F 05 CA
institution
Provider Business Practice Location Address Details
Address
455 Oconnor Dr Ste 200
City
State
Zip
95128-1632
Phone Number
408-445-3400
Fax Number
408-448-1727
person
Provider Business Mailing Address Details
Address
455 Oconnor Dr Ste 200
City
State
Zip
95128-1632
Phone Number
408-445-3400
Fax Number
408-448-1727
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
550001941 (California)
Definition
Definition to come...
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