| County Of Santa Clara | |
|
151 W Mission St # C1.01 San Jose CA 95110-1713 | |
| (669) 263-4017 | |
| Not Available |
| Full Name | County Of Santa Clara |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 151 W Mission St # C1.01, San Jose, California |
| Authorized Official Name and Position | Paul E Lorenz (CHIEF EXECUTIVE OFFICER, SCVH) |
| Authorized Official Contact | 4088854010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Santa Clara Po Box 103331 Pasadena CA 91189-3331 Ph: (669) 299-8165 | County Of Santa Clara 151 W Mission St # C1.01 San Jose CA 95110-1713 Ph: (669) 263-4017 |
| NPI Number | 1255154126 |
|---|---|
| Provider Enumeration Date | 11/07/2024 |
| Last Update Date | 11/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255154126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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