# COUNTY OF SANTA CLARA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COUNTY OF SANTA CLARA
- **Other names:** SCVMC Acute Care Medi-Cal
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528245156
- **Legal business name:** COUNTY OF SANTA CLARA
- **Authorized official:** DR. ALFONSO F BANUELOS JR. MD (CMO)
- **Authorized official phone:** (408) 885-0000

## Contact information

- **Practice address:** 751 S BASCOM AVE, SAN JOSE, CA 95128-2604
- **Practice address phone:** (408) 885-5000
- **Mailing address:** 751 S BASCOM AVE, SAN JOSE, CA 95128-2604
- **Mailing address phone:** (408) 885-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | CA | Yes |

## Other

- **Enumeration date:** 01/25/2008
- **Last updated:** 01/25/2008