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FOOTHILL HEALTH CENTER INC. NPI 1548704471


NPI Information

NPI: 1548704471
Provider Name: FOOTHILL HEALTH CENTER, INC.

Former Legal Business Name: SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
2670 S WHITE RD
SUITE 200
SAN JOSE, CA
ZIP 95148
Phone: (408) 729-4290
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FOOTHILL HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in San Jose, CA. FOOTHILL HEALTH CENTER, INC. NPI is 1548704471. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is San Jose Foothill Family Community Clinic.

The provider's business location address is:

2670 S WHITE RD
SUITE 200
SAN JOSE, CA
ZIP 95148-071
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 12/12/2016 and was last updated on 12/12/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 5/5/2024

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