Organization
COUNTY OF SANTA CLARA
Active
Parent organization
COUNTY OF SANTA CLARA
Other names
VHC Sunnyvale- Medicare
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF SANTA CLARA
Authorized official
DR. JEFFREY L ARNOLD MD (CHIEF MEDICAL OFFICER)
(408) 885-4001
Entity
Organization
Contact information
Practice address
660 S FAIR OAKS AVE, VHC SUNNYVALE, SUNNYVALE, CA 94086-7913
(408) 885-5000
Mailing address
PO BOX 742502, SCVHHS PATIENT BUSINESS SERVICES, LOS ANGELES, CA 90074-2502
(408) 885-7200
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
070000085
CA
261QP2300X
Primary Care Clinic/Center
070000085
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG5995
RR MEDICARE
CA
05
—
FHC70546F
—
CA
Enumeration date
09/20/2005
Last updated
09/19/2013
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