Organization
COUNTY OF SANTA CLARA
Active
Parent organization
COUNTY OF SANTA CLARA
Other names
Medical Clinic at Reentry Resource Center San Jose
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF SANTA CLARA
Authorized official
PAUL E LORENZ (CHIEF EXECUTIVE OFFICER, SCVH)
(408) 885-4010
Entity
Organization
Contact information
Practice address
151 W MISSION ST STE C1.01, SAN JOSE, CA 95110-1713
(669) 263-4017
Mailing address
PO BOX 103331, PASADENA, CA 91189-3331
(669) 299-8165
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
02/05/2025
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