Organization
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.
Active
Parent organization
FOOTHILL HEALTH CENTER, INC.
Other names
FCHC Prunedale Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOOTHILL HEALTH CENTER, INC.
Authorized official
SALVADOR CHAVARIN (CEO)
(408) 729-4290
Entity
Organization
Contact information
Practice address
17637 VIERRA CANYON RD, PRUNEDALE, CA 93907-3314
(408) 729-4290
(866) 931-7822
Mailing address
2670 S WHITE RD STE 200, SAN JOSE, CA 95148-2073
(408) 729-4290
(866) 931-7822
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
03/08/2018
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