Mar Monte Community Clinic
LBN: East Valley Community Clinic, Inc.
Mar Monte Community Clinic is an health care organization with primary practice located at 2470 Alvin Ave Suite 60, San Jose CA 95121-1664. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty.
East Valley Community Clinic, Inc. can be contacted via phone (408) 274-7100, or through Dodson-Crawford, Rayroz via phone (408) 795-3607.
Contact Information
Primary practice address
2470 Alvin Ave Suite 60
San Jose CA 95121-1664
Phone: (408) 274-7100
Fax: (408) 274-8763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | 070000036 | California |
Profile Details
| NPI number | 1700830296 |
|---|---|
| LBN Legal business name | East Valley Community Clinic, Inc. |
| DBA Doing business as | Mar Monte Community Clinic |
| Authorized official | Dodson-Crawford, Rayroz |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 20th, 2006 |
| Last updated | Mar 25th, 2014 - about 10 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 | 1700830296 | NPPES |
| California | MEDICAID | ZZR11665F | |
| California | MEDICAID | HAP11665F | |
| California | MEDICAID | BCP11665F |
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