Indian Health Center Of Santa Clara

LBN: Indian Health Center Of Santa Clara Valley
Indian Health Center Of Santa Clara is an health care organization with primary practice located at 602 E Santa Clara St , San Jose CA 95112-1908. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Indian Health Center Of Santa Clara Valley can be contacted via phone (408) 445-3400, or through Scott, Aldon Wayne via phone (408) 445-3400.

Contact Information

Primary practice address
602 E Santa Clara St San Jose CA 95112-1908
Phone: (408) 445-3400
Fax: (408) 448-1727
Website:
Map and Directions
Authorized official contact:
Name: Scott, Aldon Wayne Doctor of Medicine (DM)
Phone: (408) 445-3400

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 070000482 California

Profile Details

NPI number 1366726903
LBN Legal business name Indian Health Center Of Santa Clara Valley
DBA Doing business as Indian Health Center Of Santa Clara
Authorized official Scott, Aldon Wayne Doctor of Medicine (DM)
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 30th, 2011
Last updated Feb 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366726903 NPPES
California Other 55-1120 MEDICARE PALMETTO
California Other FHC11833F MEDICARE PALMETTO

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