institution
Indian Health Center Of Santa Clara Valley
Federally Qualified Health Center (FQHC) in San Jose, California
NPI 1629462312

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 1629462312 and holds a License No. 70000482 (California).

The current practice location address for Indian Health Center Of Santa Clara Valley is 2039 Forest Ave Ste 105, San Jose, CA and can be reached out via phone at 408-445-3400. You can also correspond with Indian Health Center Of Santa Clara Valley through the mailing address at 1333 MERIDIAN AVE, SAN JOSE, CA - 95125-5212 (mailing address contact number: 408-445-3400).

Location: 2039 Forest Ave Ste 105, San Jose, CA, 95125-5212
institution
Provider Profile Details
NPI Number
1629462312
Provider Name
Indian Health Center Of Santa Clara Valley
Credential
Provider Entity Type
Organization
Address
2039 Forest Ave Ste 105, San Jose, CA, 95125-5212
Phone Number
408-445-3400
Fax Number
Provider Enumeration Date
03/20/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
55-1137 01 CA MEDICARE PALMETTO
FHC11833F 01 CA MEDI-CAL
FHC11833F 05 CA
G01133-01 01 CA DELTA DENTAL
FHC11833F 01 CA STATE PROGRAMS
institution
Provider Business Practice Location Address Details
Address
2039 Forest Ave Ste 105
City
State
Zip
95128-4815
Phone Number
408-445-3400
Fax Number
person
Provider Business Mailing Address Details
Address
2039 Forest Ave Ste 105
City
State
Zip
95128-4815
Phone Number
408-445-3400
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
70000482 (California)
Definition
Definition to come...
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