Healthcare Provider Details

I. General information

NPI: 1851431647
Provider Name (Legal Business Name): SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 02/16/2022
Certification Date: 02/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 OAK ST
SAN JOSE CA
95110-2817
US

IV. Provider business mailing address

6840 VIA DEL ORO STE# 210
SAN JOSE CA
95119
US

V. Phone/Fax

Practice location:
  • Phone: 408-295-0980
  • Fax: 408-993-0402
Mailing address:
  • Phone: 408-284-2280
  • Fax: 408-754-0450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number070000472
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE KLEINHEINZ
Title or Position: CEO
Credential: NP
Phone: 408-284-2288