Organization
SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN HART (COO/CFO)
(408) 284-2289
Entity
Organization
Contact information
Practice address
1149 E JULIAN ST BLDG H, SAN JOSE, CA 95116-1005
(408) 535-6001
Mailing address
6840 VIA DEL ORO STE 210, SAN JOSE, CA 95119-1372
(408) 284-2280
(408) 754-0450
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FHC71018F
MEDI-CAL ID
CA
01
—
HAP70689G
MEDI-CAL
CA
Enumeration date
08/05/2021
Last updated
08/05/2021
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