GOLDEN VALLEY HEALTH CENTER NPI 1528042512

NPI Information

NPI: 1528042512
Provider Name: GOLDEN VALLEY HEALTH CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
797 W CHILDS AVE
MERCED, CA
ZIP 95341
Phone: (209) 383-5871
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GOLDEN VALLEY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Merced, CA. GOLDEN VALLEY HEALTH CENTER NPI is 1528042512. The provider is registered as an organization entity type.

The provider's business location address is:

797 W CHILDS AVE
MERCED, CA
ZIP 95341-805
Phone: (209) 383-5871
Fax: (209) 383-1402

The provider's authorized official is Tony Weber .
The authorized official title is Ceo and has the following contact phone number (209) 384-6493.

The enumeration date for this NPI number is 12/2/2005 and was last updated on 2/9/2017.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	040000300	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	040000300	OTHER	CALIFORNIA	STATE OF CA LIC#
2	GR0086284	MEDICAID	CALIFORNIA
3	051873	MEDICARE OSCAR/CERTIFICATION	CALIFORNIA
4	ZZZ52191Z	MEDICARE PIN	CALIFORNIA
5	CMM70479F	MEDICAID	CALIFORNIA
6	ZZZ52191Z	OTHER	CALIFORNIA	BLUE SHIELD OF CA GRP PIN

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: 5/5/2024

NPI Synchronization or Removal

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