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Northeast Valley Health Corporation
Federally Qualified Health Center (FQHC) in Pacoima, California
NPI 1114928595

Northeast Valley Health Corporation is a Federally Qualified Health Center (FQHC) based in San Fernando, CA and is specialized in Federally Qualified Health Center (FQHC). Northeast Valley Health Corporation practices in Pacoima, CA. The NPI Number for Northeast Valley Health Corporation is 1114928595 and holds a License No. (California).

The current practice location address for Northeast Valley Health Corporation is 12756 Van Nuys Blvd, Pacoima, CA and can be reached out via phone at 818-896-0531 and via fax at 818-896-5850.

Location: 12756 Van Nuys Blvd, Pacoima, CA, 91340-1328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114928595
Provider Name
Northeast Valley Health Corporation
Credential
Provider Entity Type
Organization
Address
12756 Van Nuys Blvd, Pacoima, CA, 91340-1328
Phone Number
818-896-0531
Fax Number
818-896-5850
Provider Enumeration Date
08/09/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
W14819A 01 MIN
institution
Provider Business Practice Location Address Details
Address
12756 Van Nuys Blvd
City
Pacoima
State
California
Zip
91331-1626
Phone Number
818-896-0531
Fax Number
818-896-5850
person
Provider Business Mailing Address Details
Address
12756 Van Nuys Blvd
City
Pacoima
State
California
Zip
91331-1626
Phone Number
818-896-0531
Fax Number
818-896-5850
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
()
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
261QC1500X
License No.
9600189 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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