institution
Indian Health Center Of Santa Clara Valley
Adult Mental Health Clinic/Center in San Jose, California
NPI 1538529052

Indian Health Center Of Santa Clara Valley is an Adult Mental Health Clinic/Center based in San Jose, CA and is specialized in Adult Mental Health. Indian Health Center Of Santa Clara Valley practices in San Jose, CA. The NPI Number for Indian Health Center Of Santa Clara Valley is 1538529052 and holds a License No. 070000118 (California).

The current practice location address for Indian Health Center Of Santa Clara Valley is 25 N 14Th St Ste 140, San Jose, CA and can be reached out via phone at 408-445-3400 and via fax at 408-448-1727.

Location: 25 N 14Th St Ste 140, San Jose, CA, 95125-5212
institution
Provider Profile Details
NPI Number
1538529052
Provider Name
Indian Health Center Of Santa Clara Valley
Credential
Provider Entity Type
Organization
Address
25 N 14Th St Ste 140, San Jose, CA, 95125-5212
Phone Number
408-445-3400
Fax Number
408-448-1727
Provider Enumeration Date
02/25/2016
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FHC11833F 05 CA
FHC11833F 01 CA MEDI-CAL
55-1137 01 CA MEDICARE PALMETTO
FHC11833F 01 CA STATE PROGRAM
institution
Provider Business Practice Location Address Details
Address
25 N 14Th St Ste 140
City
State
Zip
95112-6218
Phone Number
408-445-3400
Fax Number
408-448-1727
person
Provider Business Mailing Address Details
Address
25 N 14Th St Ste 140
City
State
Zip
95112-6218
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.
070000482 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
070000118 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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