Indian Health Center Of Santa Clara Valley - Frc

LBN: Indian Health Center Of Santa Clara Valley
Indian Health Center Of Santa Clara Valley - Frc is an health care organization with primary practice located at 25 N 14Th St Ste 140 , San Jose CA 95112-6218. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is 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
25 N 14Th St Ste 140 San Jose CA 95112-6218
Phone: (408) 445-3400
Fax: (408) 448-1727
Website:
Map and Directions
Authorized official contact:
Name: Scott, Aldon Wayne DOCTOR OF MANAGEMENT
Phone: (408) 445-3400

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 070000118 California
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 070000482 California

Profile Details

NPI number 1538529052
LBN Legal business name Indian Health Center Of Santa Clara Valley
DBA Doing business as Indian Health Center Of Santa Clara Valley - Frc
Authorized official Scott, Aldon Wayne DOCTOR OF MANAGEMENT
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2016
Last updated Feb 25th, 2016 - about 9 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 1538529052 NPPES
California MEDICAID FHC11833F
California Other FHC11833F
California Other 55-1137
California Other FHC11833F

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