Alviso Health Center
LBN: Gardner Family Health Network Inc
Alviso Health Center is an health care organization with primary practice located at 1621 Gold St. , Alviso CA 95002-1240. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / Supports Brokerage, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Gardner Family Health Network Inc can be contacted via phone (408) 935-3933, or through Cornell, Christina via phone (408) 579-6178.
Contact Information
Primary practice address
1621 Gold St.
Alviso CA 95002-1240
Phone: (408) 935-3933
Fax: (408) 935-3988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Agencies / Supports Brokerage | 251X00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | FHC70262F | California |
Profile Details
| NPI number | 1164552931 |
|---|---|
| LBN Legal business name | Gardner Family Health Network Inc |
| DBA Doing business as | Alviso Health Center |
| Authorized official | Cornell, Christina |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | May 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164552931 | NPPES |
| California | Other | HAP11001F | SOFPALV |
| California | Other | BCP11001F | SOFPALV |
| California | Other | EAP11001F | SOFPALV |
| California | MEDICAID | FHC11001F | SOFPALV |
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