NPI: 1053855312
Provider Name: SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.
Other Name: FOOTHILL HEALTH CENTER, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization
Specialization: Federally Qualified Health Center (FQHC)
Address:
1776 EDUCATIONAL PARK DR
N BUILDING
SAN JOSE, CA
ZIP 95133
Phone: (408) 928-6130
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SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC. is a federally qualified health center (fqhc) clinic center in San Jose, CA. SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC. NPI is 1053855312. The provider is registered as an organization entity type.
The provider Other Name Is Foothill Health Center, Inc..
The provider's business location address is:
1776 EDUCATIONAL PARK DR
N BUILDING
SAN JOSE, CA
ZIP 95133-703
Phone: (408) 928-6130
The provider's authorized official is Salvador Chavarin .
The authorized official title is Ceo and has the following contact phone number (408) 729-4290.
The enumeration date for this NPI number is 12/6/2016 and was last updated on 3/8/2018.