NPI:
1316482896
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:
9460 N NAME UNO
SUITE 215
GILROY, CA
ZIP 95020
Phone:
(408) 797-2510
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SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC. is a federally qualified health center (fqhc) clinic center in Gilroy, CA. SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC. NPI is 1316482896. 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:
9460 N NAME UNO
SUITE 215
GILROY, CA
ZIP 95020-537
Phone: (408) 797-2510
Fax: (408) 963-0143
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 12/20/2016 and was last updated on 3/8/2018.