| Indian Health Center Of Santa Clara Valley | |
|
1118 Meridian Ave Ste 150 San Jose CA 95125-4329 | |
| (408) 445-3400 | |
| Not Available |
| Full Name | Indian Health Center Of Santa Clara Valley |
|---|---|
| Speciality | Clinic/Center |
| Location | 1118 Meridian Ave Ste 150, San Jose, California |
| Authorized Official Name and Position | Aldon Wayne Scott (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 4084453400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indian Health Center Of Santa Clara Valley 1333 Meridian Ave San Jose CA 95125-5212 Ph: (408) 445-3400 | Indian Health Center Of Santa Clara Valley 1118 Meridian Ave Ste 150 San Jose CA 95125-4329 Ph: (408) 445-3400 |
| NPI Number | 1275964488 |
|---|---|
| Provider Enumeration Date | 12/13/2013 |
| Last Update Date | 01/30/2025 |
| Certification Date | 01/30/2025 |
| Medicare PECOS PAC ID | 1153406665 |
|---|---|
| Medicare Enrollment ID | O20140804001912 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275964488 | NPI | - | NPPES |
| FHC11833F | Medicaid | CA |
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