NPI | 1376538991 |
---|---|
Doing Business As | VALLEY HEALTH CENTER AT TULLY |
Entity Type | Organization |
Authorized Contact | PAUL E LORENZ Chief Executive Officer 408-885-4010 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 070000085) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2005-09-20 |
Last Update Date | 2023-10-13 |