Valley Health Center At Tully

LBN: County Of Santa Clara
Valley Health Center At Tully is an health care organization with primary practice located at 500 Tully Rd , San Jose CA 95111-1917. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). 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 Lorenz, Paul E via phone (408) 885-4010.

Contact Information

Primary practice address
500 Tully Rd San Jose CA 95111-1917
Phone: (408) 885-5000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lorenz, Paul E
Phone: (408) 885-4010

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 070000085 California

Profile Details

NPI number 1376538991
LBN Legal business name County Of Santa Clara
DBA Doing business as Valley Health Center At Tully
Authorized official Lorenz, Paul E
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 20th, 2005
Last updated Oct 13th, 2023 - about last year

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 1376538991 NPPES
California MEDICAID FHC80070F
California MEDICAID HAP80070F
California Other CG5995
California MEDICAID BCP80070F

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