GOLDEN VALLEY HEALTH CENTER NPI 1477020121

NPI Information

  • NPI: 1477020121
  • Provider Name: GOLDEN VALLEY HEALTH CENTER
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Address: 302 NORTHGATE DR
    MANTECA, CA
    ZIP 95336
  • Phone: (209) 239-5299

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NPI Details

GOLDEN VALLEY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Manteca, CA. GOLDEN VALLEY HEALTH CENTER NPI is 1477020121. The provider is registered as an organization entity type.

The provider's business location address is:

302 NORTHGATE DR
MANTECA, CA
ZIP 95336-139
Phone: (209) 239-5299
Fax: (209) 239-5295

The provider's authorized official is Tony Weber .
The authorized official title is Ceo and has the following contact phone number (209) 385-5462.

The enumeration date for this NPI number is 10/31/2018 and was last updated on 10/31/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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