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Organization

GARDNER FAMILY HEALTH NETWORK INC

Active
Other names
GARDNER HEALTH CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
OFELIA RUIZ (DIRECTOR)
(408) 935-3971
Entity
Organization

Contact information

Practice address
195 E VIRGINIA ST, SAN JOSE, CA 95112-5844
(408) 935-3933
(408) 935-3988
Mailing address
PO BOX 1240, ALVISO, CA 95002-1240
(408) 935-3933
(408) 935-3988

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
251X00000X
Supports Brokerage Agency
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
FHC70262F
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BCO11531F
BCEDPGAR
CA
01
EAP11531F
EAPCGAR
CA
05
FHC11531F
CA
01
HAP11531F
SOFPGAR
CA
Enumeration date
03/05/2007
Last updated
05/04/2023
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