Organization
GARDNER FAMILY HEALTH NETWORK INC
Active
Other names
ST JAMES HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
OFELIA RUIZ (DIRECTOR)
(408) 935-3971
Entity
Organization
Contact information
Practice address
55 E JULIAN ST, SAN JOSE, CA 95112-4007
(408) 935-3933
(408) 935-3988
Mailing address
PO BOX 1240, ALVISO, CA 95002-1240
(408) 935-3933
(408) 935-3988
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251X00000X
Supports Brokerage Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
FHC70262F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP70014F
BCEDPSTJ
CA
01
—
EAP70014F
EAPCSTJ
CA
05
—
FHC70014F
—
CA
01
—
HAP70014F
SOFPSTJ
CA
Enumeration date
03/05/2007
Last updated
05/04/2023
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