Medical Mobile Unit-Sls

LBN: County Of Santa Clara
Medical Mobile Unit-Sls is an health care organization with primary practice located at 750 S Bascom Ave Medical Mobile Unit-Sls, San Jose CA 95128-2603. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. County Of Santa Clara can be contacted via phone (408) 885-5000, or through Banuelos, Alfonso F via phone (408) 885-4001.

Contact Information

Primary practice address
750 S Bascom Ave Medical Mobile Unit-Sls San Jose CA 95128-2603
Phone: (408) 885-5000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Banuelos, Alfonso F Doctor of Medicine (MD)
Phone: (408) 885-4001

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X California
Ambulatory Health Care Facilities / Primary Care 261QP2300X California

Profile Details

NPI number 1083651152
LBN Legal business name County Of Santa Clara
DBA Doing business as Medical Mobile Unit-Sls
Authorized official Banuelos, Alfonso F Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083651152 NPPES
California MEDICAID FHC80060F

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