Valley Health Center At Puentes Clinic
LBN: County Of Santa Clara
Valley Health Center At Puentes Clinic is an health care organization with primary practice located at 2425 Enborg Ln Valley Health Center At Puentes Clinic, San Jose CA 95128-2648. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Methadone, 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
2425 Enborg Ln Valley Health Center At Puentes Clinic
San Jose CA 95128-2648
Phone: (408) 885-5000
Fax:
Website:
Authorized official contact:
Name: Banuelos, Alfonso F Doctor of Medicine (MD)
Phone: (408) 885-4001
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | California | |
| Ambulatory Health Care Facilities / Methadone | 261QM2800X | California | |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | California |
Profile Details
| NPI number | 1841285459 |
|---|---|
| LBN Legal business name | County Of Santa Clara |
| DBA Doing business as | Valley Health Center At Puentes Clinic |
| Authorized official | Banuelos, Alfonso F Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 20th, 2005 |
| 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 | 1841285459 | NPPES |
| California | MEDICAID | EXE70078F |
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