1497855696 NPI number — COUNTY OF SANTA CLARA

Table of content: (NPI 1497855696)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497855696 NPI number — COUNTY OF SANTA CLARA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF SANTA CLARA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
VHC AT EMERGENCY HOUSING CONSORTIUM
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497855696
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/19/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 742502
Provider Second Line Business Mailing Address:
SCVHHS-PATIENT BUSINESS SERVICES
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90074-2502
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
408-885-7200
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2100 LITTLE ORCHARD
Provider Second Line Business Practice Location Address:
VHC AT EMERGENCY HOUSING CONSORTIUM
Provider Business Practice Location Address City Name:
SAN JOSE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95125-2604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-885-5000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/25/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ARNOLD
Authorized Official First Name:
JEFFREY
Authorized Official Middle Name:
L
Authorized Official Title or Position:
CHIEF MEDICAL OFFICER
Authorized Official Telephone Number:
408-885-4001

Provider Taxonomy Codes

  • Taxonomy code: 261QF0400X , with the licence number:  070000085 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QP2300X , with the licence number: 070000085 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: FHC70534F , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: CG5995 . This is a "RR MEDICARE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".