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BAY AREA COMMUNITY HEALTH NPI 1669094504


NPI Information

NPI: 1669094504
Provider Name: BAY AREA COMMUNITY HEALTH

Doing Business As: TRI-CITY HEALTH CENTER SILVER CREEK HIGH SCHOOL

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
3434 SILVER CREEK RD RM M1
SAN JOSE, CA
ZIP 95121
Phone: (408) 928-6130
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BAY AREA COMMUNITY HEALTH is a federally qualified health center (fqhc) clinic center in San Jose, CA. BAY AREA COMMUNITY HEALTH NPI is 1669094504. The provider is registered as an organization entity type.
The provider Is Doing Business As Tri-city Health Center Silver Creek High School.

The provider's business location address is:

3434 SILVER CREEK RD RM M1
SAN JOSE, CA
ZIP 95121-845
Phone: (408) 928-6130

The provider's authorized official is Jagat Sheth .
The authorized official title is Chief Financial Officer and has the following contact phone number (510) 252-6810.

The enumeration date for this NPI number is 5/14/2020 and was last updated on 7/15/2020.


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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11063658029MEDICAIDCALIFORNIA

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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