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MOUNTAIN VALLEYS HEALTH CENTERS NPI 1922179498


NPI Information

NPI: 1922179498
Provider Name: MOUNTAIN VALLEYS HEALTH CENTERS

Doing Business As: FALL RIVER VALLEY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
43658 STATE HIGHWAY 299 E
FALL RIVER MILLS, CA
ZIP 96028
Phone: (530) 336-6535
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MOUNTAIN VALLEYS HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Fall River Mills, CA. MOUNTAIN VALLEYS HEALTH CENTERS NPI is 1922179498. The provider is registered as an organization entity type.
The provider Is Doing Business As Fall River Valley Health Center.

The provider's business location address is:

43658 STATE HIGHWAY 299 E
FALL RIVER MILLS, CA
ZIP 96028-787
Phone: (530) 336-6535
Fax: (530) 335-5166

The provider's authorized official is Brandon Watkins .
The authorized official title is Cfo and has the following contact phone number (530) 999-9010.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 7/28/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11922179498MEDICAIDCALIFORNIA

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

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