Youth Health Center Spark

LBN: County Of Santa Clara
Youth Health Center Spark is an health care organization with primary practice located at 455 Oconnor Dr Ste 350 , San Jose CA 95128-1646. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as 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
455 Oconnor Dr Ste 350 San Jose CA 95128-1646
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
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1609580430
LBN Legal business name County Of Santa Clara
DBA Doing business as Youth Health Center Spark
Authorized official Lorenz, Paul E
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 6th, 2023
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.

Request for update

Popular Providers