institution
Indian Health Center Of Santa Clara Valley
Federally Qualified Health Center (FQHC) in San Jose, California
NPI 1881997963

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 1881997963 and holds a License No. 550001783 (California).

The current practice location address for Indian Health Center Of Santa Clara Valley is 1642 E Capitol Expy, San Jose, CA and can be reached out via phone at 408-445-3400 and via fax at 408-448-1727.

Location: 1642 E Capitol Expy, San Jose, CA, 95125-5212
institution
Provider Profile Details
NPI Number
1881997963
Provider Name
Indian Health Center Of Santa Clara Valley
Credential
Provider Entity Type
Organization
Address
1642 E Capitol Expy, San Jose, CA, 95125-5212
Phone Number
408-445-3400
Fax Number
408-448-1727
Provider Enumeration Date
12/13/2010
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
55-1120 01 CA MEDICARE PALMETTO
FHC11833F 05 CA
FHC11833F 01 CA STATE PROGRAMS
G01133-01 01 CA DELTA DENTAL
institution
Provider Business Practice Location Address Details
Address
1642 E Capitol Expy
City
State
Zip
95121-1800
Phone Number
408-445-3400
Fax Number
408-448-1727
person
Provider Business Mailing Address Details
Address
1642 E Capitol Expy
City
State
Zip
95121-1800
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.
550001783 (California)
Definition
Definition to come...
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