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Organization

INDIAN HEALTH CENTER OF SANTA CLARA VALLEY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALDON WAYNE SCOTT DM (DIRECTOR OF OPERATIONS)
(408) 445-3400
Entity
Organization

Contact information

Practice address
1118 MERIDIAN AVE STE 150, SAN JOSE, CA 95125-4329
(408) 445-3400
Mailing address
1333 MERIDIAN AVE, SAN JOSE, CA 95125-5212
(408) 445-3400
(408) 448-1727

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
070000118
CA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
070000482
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
FHC11833F
CA
Enumeration date
12/13/2013
Last updated
01/30/2025
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