Organization
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.
Active
Other names
Foothill Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
SALVADOR CHAVARIN (CHIEF EXECUTIVE OFFICER)
(408) 729-4290
Entity
Organization
Contact information
Practice address
2880 STORY ROAD, SUITE 10, SAN JOSE, CA 95127-3942
(408) 755-3920
(866) 931-7822
Mailing address
2670 SOUTH WHITE ROAD, SUITE 200, SAN JOSE, CA 95148-2071
(408) 729-4290
(866) 931-7822
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
070000436
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70736F
—
CA
Enumeration date
12/22/2008
Last updated
06/11/2015
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