Indian Health Center Of Santa Clara Valley in San Jose - Federally Qualified Health Center (fqhc)
Indian Health Center Of Santa Clara Valley - NPI 1164643862
Indian Health Center Of Santa Clara Valley is a Federally Qualified Health Center (fqhc) in San Jose, California. Indian Health Center Of Santa Clara Valley practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Indian Health Center Of Santa Clara Valley is 1164643862. The last update date is 2014-06-10.
Indian Health Center Of Santa Clara Valley's current location address is 1333 Meridian Ave, San Jose, California. You can contact this provider via phone number 4084453400 and fax number 4084481727. The mailing address for Indian Health Center Of Santa Clara Valley is 1333 Meridian Ave, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Indian Health Center Of Santa Clara Valley |
|---|---|
| Address | 1333 Meridian Ave, San Jose, California |
| Phone Number | 4084453400 |
| Fax Number | 4084481727 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Scott Wayne Aldon |
| Credentials | D.M. |
| Telephone Number | 4084453400 |
NPI Number Detail
| NPI Number | 1164643862 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2014-06-10 |
Provider Mailing Address Detail
| Address | 1333 Meridian Ave |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951255212 |
| Phone Number | 4084453400 |
| Fax Number | 4084481727 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 70000118 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| FHC11833F | CA | -- | |
| G01133-01 | CA | DELTA DENTAL | |
| FHC11833F | CA | MEDICAL |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Indian Health Center Of Santa Clara Valley by the Centers for Medicare & Medicaid Services?
The Indian Health Center Of Santa Clara Valley has been issued the NPI (National Provider Identifier) 1164643862 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Indian Health Center Of Santa Clara Valley?
The Indian Health Center Of Santa Clara Valley is physically situated at 1333 Meridian Ave, in the city of San Jose, state of CA, with the postal code 951255212.
What is Indian Health Center Of Santa Clara Valley's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Indian Health Center Of Santa Clara Valley is Federally Qualified Health Center (fqhc), and the taxonomy code that classifies this field of practice is 261Qf0400X.
When did Indian Health Center Of Santa Clara Valley receive its 1164643862 assignment?
The Indian Health Center Of Santa Clara Valley was assigned its 1164643862 on 2007-05-01, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Indian Health Center Of Santa Clara Valley, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Indian Health Center Of Santa Clara Valley, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-06-10.
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