Provider Demographics
NPI:1619158094
Name:COUNTY SANTA CLARA
Entity Type:Organization
Organization Name:COUNTY SANTA CLARA
Other - Org Name:TARGETED CASE MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:FENSTERSHEIB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-792-3798
Mailing Address - Street 1:976 LENZEN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126
Mailing Address - Country:US
Mailing Address - Phone:408-792-3798
Mailing Address - Fax:408-792-3799
Practice Address - Street 1:976 LENZEN AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126
Practice Address - Country:US
Practice Address - Phone:408-792-3798
Practice Address - Fax:408-792-3799
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY SANTA CLARA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-14
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management