Organization
SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE KLEINHEINZ NP (CEO)
(408) 284-2288
Entity
Organization
Contact information
Practice address
1835 CUNNINGHAM AVE, SAN JOSE, CA 95122-1712
(408) 347-5988
(408) 347-6019
Mailing address
6840 VIA DEL ORO, STE# 210, SAN JOSE, CA 95119
(408) 284-2280
(408) 754-0450
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251X00000X
Supports Brokerage Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QH0100X
Health Service Clinic/Center
070000408
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FHC70689G
MEDI-CAL ID
CA
01
—
HAP70689G
FAM PACT
CA
Enumeration date
02/08/2007
Last updated
02/16/2022
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