Organization
INDIAN HEALTH CENTER OF SANTA CLARA VALLEY
Active
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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