Ronald Mcdonald Dental Mobile Unit
LBN: County Of Santa Clara
Ronald Mcdonald Dental Mobile Unit is an health care organization with primary practice located at 500 Tully Rd Ronald Mcdonald Dental Mobile Unit, San Jose CA 95111-1917. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Dental 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 40888854001.
Contact Information
Primary practice address
500 Tully Rd Ronald Mcdonald Dental Mobile Unit
San Jose CA 95111-1917
Phone: (408) 885-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X | California | |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | California |
Profile Details
| NPI number | 1205915501 |
|---|---|
| LBN Legal business name | County Of Santa Clara |
| DBA Doing business as | Ronald Mcdonald Dental Mobile Unit |
| Authorized official | Banuelos, Alfonso F Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205915501 | NPPES |
| California | MEDICAID | FHC80060F |
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