| Story Health Partners Of Nj Llc | |
|
20823 Stevens Creek Blvd Ste 400 Cupertino CA 95014-2111 | |
| (408) 538-5228 | |
| (866) 226-8774 |
| Full Name | Story Health Partners Of Nj Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 20823 Stevens Creek Blvd Ste 400, Cupertino, California |
| Authorized Official Name and Position | Ashul Govil (PRESIDENT AND CEO) |
| Authorized Official Contact | 7034774662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Story Health Partners Of Nj Llc 20823 Stevens Creek Blvd Ste 400 Cupertino CA 95014-2111 Ph: (408) 538-5228 | Story Health Partners Of Nj Llc 20823 Stevens Creek Blvd Ste 400 Cupertino CA 95014-2111 Ph: (408) 538-5228 |
| NPI Number | 1184496648 |
|---|---|
| Provider Enumeration Date | 10/26/2023 |
| Last Update Date | 10/26/2023 |
| Medicare PECOS PAC ID | 1254774441 |
|---|---|
| Medicare Enrollment ID | O20240205001797 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184496648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jane E Costello Mcconnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316306376 PECOS PAC ID: 8426335274 Enrollment ID: I20170503001105 |
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