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SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC INC. NPI 1104244821


NPI Information

NPI: 1104244821
Provider Name: SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.

Doing Business As: FOOTHILL COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3200 SENTER ROAD
ROOM S-104
SAN JOSE, CA
ZIP 95111
Phone: (408) 347-4240
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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 1104244821. The provider is registered as an organization entity type.
The provider Is Doing Business As Foothill Community Health Center.

The provider's business location address is:

3200 SENTER ROAD
ROOM S-104
SAN JOSE, CA
ZIP 95111-332
Phone: (408) 347-4240
Fax: (866) 931-7822

The provider's authorized official is Salvador Chavarin .
The authorized official title is Chief Executive Officer and has the following contact phone number (408) 729-4290.

The enumeration date for this NPI number is 3/31/2014 and was last updated on 6/9/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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