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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
645 WOOL CREEK DR, SAN JOSE, CA 95112-2617
(408) 283-6051
Mailing address
6840 VIA DEL ORO STE 210, SAN JOSE, CA 95119-1372
(408) 284-2280
(408) 754-0450

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
261QH0100X
Health Service Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
FHC70692G
MEDI-CAL ID
CA
05
HAP70692G
CA
Enumeration date
08/05/2021
Last updated
08/05/2021
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