Organization
SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN HART (COO/CFO)
(408) 284-2289
Entity
Organization
Contact information
Practice address
855 LENZEN AVE RM 105, SAN JOSE, CA 95126-2736
(408) 525-4729
Mailing address
6840 VIA DEL ORO STE 210, SAN JOSE, CA 95119-1372
(408) 284-2289
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
251X00000X
Supports Brokerage Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
02/10/2022
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