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SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC INC. NPI 1689176604


NPI Information

NPI: 1689176604
Provider Name: SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.

Doing Business As: FCHC MOMENTUM - ALAMEDA CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
2001 THE ALAMEDA
SAN JOSE, CA
ZIP 95126
Phone: (408) 729-4290
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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 1689176604. The provider is registered as an organization entity type.
The provider Is Doing Business As Fchc Momentum - Alameda Center.

The provider's business location address is:

2001 THE ALAMEDA
SAN JOSE, CA
ZIP 95126-136
Phone: (408) 729-4290
Fax: (866) 931-7822

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 3/6/2018 and was last updated on 3/17/2018.


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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