| County Of Santa Clara | |
|
777 E Santa Clara St San Jose CA 95112-1934 | |
| (408) 885-5000 | |
| Not Available |
| Full Name | County Of Santa Clara |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 777 E Santa Clara St, San Jose, California |
| Authorized Official Name and Position | Paul Lorenz (CHIEF EXECUTIVE OFFICER) |
| 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 888407 Los Angeles CA 90088-8407 Ph: () - | County Of Santa Clara 777 E Santa Clara St San Jose CA 95112-1934 Ph: (408) 885-5000 |
| NPI Number | 1619754710 |
|---|---|
| Provider Enumeration Date | 09/12/2023 |
| Last Update Date | 09/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619754710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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