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TELECARE CORPORATION NPI 1104277078


NPI Information

NPI: 1104277078
Provider Name: TELECARE CORPORATION

Doing Business As: TELECARE PARTNERS IN WELLNESS

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 05D2166375

Address:
800 N 1ST ST
SAN JOSE, CA
ZIP 95112
Phone: (408) 299-0462
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TELECARE CORPORATION is a mental health (including community mental health center) clinic center in San Jose, CA. TELECARE CORPORATION NPI is 1104277078. The provider is registered as an organization entity type.
The provider Is Doing Business As Telecare Partners In Wellness.

The provider's business location address is:

800 N 1ST ST
SAN JOSE, CA
ZIP 95112-312
Phone: (408) 299-0462
Fax: (408) 299-0469

The provider's authorized official is Lesie Davis .
The authorized official title is Svp, Cfo and has the following contact phone number (510) 337-7950.

The CLIA number assigned to this NPI record is 05D2166375 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2016 and was last updated on 8/23/2016.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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: 11/14/2023

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