Gardner Health Center

LBN: Gardner Family Health Network Inc
Gardner Health Center is an health care organization with primary practice located at 195 E Virginia St , San Jose CA 95112-5844. 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 Ruiz, Ofelia via phone (408) 935-3971.

Contact Information

Primary practice address
195 E Virginia St San Jose CA 95112-5844
Phone: (408) 935-3933
Fax: (408) 935-3988
Website:
Map and Directions
Authorized official contact:
Name: Ruiz, Ofelia
Phone: (408) 935-3971

Health care specialties

SpecialtyCodeLicense #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 1407985534
LBN Legal business name Gardner Family Health Network Inc
DBA Doing business as Gardner Health Center
Authorized official Ruiz, Ofelia
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407985534 NPPES
California MEDICAID FHC11531F
California Other BCO11531F
California Other EAP11531F
California Other HAP11531F

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