NORTHEAST VALLEY HEALTH CORPORATION NPI 1689851586

NPI Information

NPI: 1689851586
Provider Name: NORTHEAST VALLEY HEALTH CORPORATION
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
7107 REMMET AVE
CANOGA PARK, CA
ZIP 91303
Phone: (818) 340-3570
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NORTHEAST VALLEY HEALTH CORPORATION is a federally qualified health center (fqhc) clinic center in Canoga Park, CA. NORTHEAST VALLEY HEALTH CORPORATION NPI is 1689851586. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7107 REMMET AVE
CANOGA PARK, CA
ZIP 91303
Phone: (818) 340-3570
Fax: (818) 702-9578

The provider's authorized official is Kimberly Wyard .
The authorized official title is Chief Executive Officer and has the following contact phone number (818) 898-1388.

The enumeration date for this NPI number is 1/23/2008 and was last updated on 2/23/2022.

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	171M00000X	Case Manager/Care Coordinator				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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	BCP70652F	OTHER	CALIFORNIA	CANCER DETECTION PROGRAM

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: 4/28/2024

NPI Synchronization or Removal

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