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Organization

COUNTY OF SANTA CLARA

Active
Parent organization
COUNTY OF SANTA CLARA
Other names
SCVMC Acute Care Medi-Cal
Organization subpart
Yes

Provider details

NPI number
Legal business name
COUNTY OF SANTA CLARA
Authorized official
DR. ALFONSO F BANUELOS JR. MD (CMO)
(408) 885-0000
Entity
Organization

Contact information

Practice address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZR00038W
CA
Enumeration date
01/25/2008
Last updated
01/25/2008
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