| Indian Health Center Of Santa Clara Valley | |
|
1333 Meridian Ave San Jose CA 95125-5212 | |
| (408) 445-3400 | |
| (408) 448-1727 |
| Full Name | Indian Health Center Of Santa Clara Valley |
|---|---|
| Speciality | Clinic/Center |
| Location | 1333 Meridian Ave, 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 1333 Meridian Ave San Jose CA 95125-5212 Ph: (408) 445-3400 |
| NPI Number | 1164643862 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 06/10/2014 |
| Medicare PECOS PAC ID | 1153406665 |
|---|---|
| Medicare Enrollment ID | O20100121000319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164643862 | NPI | - | NPPES |
| FHC11833F | Medicaid | CA | |
| G01133-01 | Other | CA | DELTA DENTAL |
| FHC11833F | Other | CA | MEDICAL |
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