Gardner Family Health Network Inc in Alviso - Federally Qualified Health Center (fqhc)

Gardner Family Health Network Inc - NPI 1558491043

Gardner Family Health Network Inc is a Federally Qualified Health Center (fqhc) in Alviso, California. Gardner Family Health Network Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Gardner Family Health Network Inc is 1558491043. The last update date is 2023-05-04.

Gardner Family Health Network Inc's current location address is 1621 Gold St., Alviso, California. You can contact this provider via phone number 4089353933 and fax number 4089353988. The mailing address for Gardner Family Health Network Inc is 1621 Gold St., Alviso, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gardner Family Health Network Inc
Address 1621 Gold St., Alviso, California
Phone Number 4089353933
Fax Number 4089353988
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CREDENTIAL
Authorized Official Name Cornell Christina
Telephone Number 4085796178

NPI Number Detail

NPI Number 1558491043
Provider Enumeration Date 2007-03-06
Last Updated Date 2023-05-04

Provider Mailing Address Detail

Address 1621 Gold St.
City Alviso
State California (CA)
Post Code 920021240
Phone Number 4089353933
Fax Number 4089353988

Provider's Primary Taxonomy Detail

Speciality Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Licence No FHC70262F
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
BCP70262F CA BCEDPCCARE
FHC70262F CA --
EAP70262F CA EAPCCCARE
HAP70262F CA SOFPCCARE

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FAQs about Gardner Family Health Network Inc

What is the unique 10-digit identifier code assigned to Gardner Family Health Network Inc by the Centers for Medicare & Medicaid Services?

The Gardner Family Health Network Inc has been issued the NPI (National Provider Identifier) 1558491043 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Gardner Family Health Network Inc is located?

The Gardner Family Health Network Inc is situated at the following address: 1621 Gold St., Alviso, CA, 920021240.

What is Gardner Family Health Network Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Gardner Family Health Network Inc is Federally Qualified Health Center (fqhc), and the corresponding taxonomy classification code for this specialized field is 261Qf0400X.

On what date did the Gardner Family Health Network Inc receive its 1558491043 assignment from the Centers for Medicare & Medicaid Services?

The Gardner Family Health Network Inc was assigned its 1558491043 by the Centers for Medicare & Medicaid Services on 2007-03-06.

As of what date was the information regarding Gardner Family Health Network Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gardner Family Health Network Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-05-04.

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