Organization
THE HEALTH TRUST
Active
Organization
THE HEALTH TRUST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE LEW (CHIEF EXECUTIVE OFFICER)
(408) 513-8700
Entity
Organization
Contact information
Practice address
46 RACE ST, SAN JOSE, CA 95126-3130
(408) 961-9845
(408) 961-9856
Mailing address
1400 PARKMOOR AVE STE 210, SAN JOSE, CA 95126-3798
(408) 961-9854
(408) 961-9856
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251K00000X
Public Health or Welfare Agency
Primary
G91493-01
CA
251X00000X
Supports Brokerage Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AYD000090
MEDICAL PIN
CA
Enumeration date
02/07/2007
Last updated
01/31/2023
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