| Bay Area Community Health Center Of Gilroy - Dental | |
|
9460 N Name Uno Ste 215 Gilroy CA 95020-3532 | |
| (408) 729-9700 | |
| Not Available |
| Full Name | Bay Area Community Health Center Of Gilroy - Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 9460 N Name Uno Ste 215, Gilroy, California |
| Authorized Official Name and Position | Jagat Sheth (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5102526810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Community Health Center Of Gilroy - Dental 40910 Fremont Blvd Fremont CA 94538-4375 Ph: (510) 770-8040 | Bay Area Community Health Center Of Gilroy - Dental 9460 N Name Uno Ste 215 Gilroy CA 95020-3532 Ph: (408) 729-9700 |
| NPI Number | 1790307742 |
|---|---|
| Provider Enumeration Date | 05/13/2020 |
| Last Update Date | 05/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790307742 | NPI | - | NPPES |
| 1144626649 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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