| San Jose Foothill Family Community Clinic, Inc. | |
|
9460 No Name Uno Suite 110 Gilroy CA 95020-3536 | |
| (408) 797-2500 | |
| (866) 931-7822 |
| Full Name | San Jose Foothill Family Community Clinic, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 9460 No Name Uno, Gilroy, California |
| Authorized Official Name and Position | Salvador Chavarin (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4087294290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Jose Foothill Family Community Clinic, Inc. 2670 South White Road Suite 200 San Jose CA 95148-2071 Ph: (408) 729-4290 | San Jose Foothill Family Community Clinic, Inc. 9460 No Name Uno Suite 110 Gilroy CA 95020-3536 Ph: (408) 797-2500 |
| NPI Number | 1144626649 |
|---|---|
| Provider Enumeration Date | 11/10/2014 |
| Last Update Date | 06/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144626649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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