Organization · Type 2 NPI
San Jose Foothill Family Community Clinic, Inc.
Federally Qualified Health Center (FQHC) · San Jose, CA
NPI number
1104244821
Active
Practice location
3200 Senter Road, Room S-104
San Jose, CA 95111-1332
Fax (866) 931-7822
Mailing address
2670 South White Road, Suite 200
San Jose, CA 95148-2071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1104244821
San Jose Foothill Family Community Clinic, Inc.'s National Provider Identifier is 1104244821, issued on Mar 31, 2014. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in San Jose, CA. The record was last updated on Jun 9, 2015.