San Jose Foothill Family Community Clinic, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Gilroy, CA. Organization (NPI-2).
NPI number1669922753
StatusActive
Last updated in NPPESMar 8, 2018
Details
- NPI
- 1669922753
- Entity type
- Organization (NPI-2)
- Legal business name
- San Jose Foothill Family Community Clinic, INC.
- Organization subpart
- Yes
- Enumeration date
- Oct 12, 2016
- Last updated
- Mar 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Practice location
480 W 8th StGilroy, CA 95020-6474
Phone 408-729-9700
Mailing address
2670 S White Rd Ste 200San Jose, CA 95148-2073
Phone 408-729-4290
Authorized official
Salvador Chavarin
Ceo
4087294290
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