Bay Area Community Health
Clinic/Center, Federally Qualified Health Center (FQHC) in San Jose, CA. Organization (NPI-2).
NPI number1508488784
StatusActive
Last updated in NPPESJul 16, 2020
Details
- NPI
- 1508488784
- Entity type
- Organization (NPI-2)
- Legal business name
- Bay Area Community Health
- Organization subpart
- Yes
- Enumeration date
- May 11, 2020
- Certification date
- Jul 16, 2020
- Last updated
- Jul 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Practice location
2680 S White Rd Ste 260San Jose, CA 95148-2080
Phone 408-755-3905
Mailing address
40910 Fremont BlvdFremont, CA 94538-4375
Phone 510-770-8040
Authorized official
Jagat Sheth
Chief Financial Officer
5102526810
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