Organization
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.
Active
Parent organization
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.
Authorized official
MR. SALVADOR CHAVARIN (CEO)
(408) 729-4290
Entity
Organization
Contact information
Practice address
480 W 8TH ST, GILROY, CA 95020-6474
(408) 729-9700
Mailing address
2670 S WHITE RD STE 200, SAN JOSE, CA 95148-2073
(408) 729-4290
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/12/2016
Last updated
03/08/2018
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