institution
Golden Valley Health Center
Federally Qualified Health Center (FQHC) in Modesto, California
NPI 1205810389

Golden Valley Health Center is a Federally Qualified Health Center (FQHC) based in Merced, CA and is specialized in Federally Qualified Health Center (FQHC). Golden Valley Health Center practices in Modesto, CA. The NPI Number for Golden Valley Health Center is 1205810389 and holds a License No. 030000519 (California).

The current practice location address for Golden Valley Health Center is 1121 Hammond St, Modesto, CA and can be reached out via phone at 209-576-4437 and via fax at 209-576-4494.

Location: 1121 Hammond St, Modesto, CA, 95341-6805
institution
Provider Profile Details
NPI Number
1205810389
Provider Name
Golden Valley Health Center
Credential
Provider Entity Type
Organization
Address
1121 Hammond St, Modesto, CA, 95341-6805
Phone Number
209-576-4437
Fax Number
209-576-4494
Provider Enumeration Date
12/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ52521Z 01 CA BLUE SHIELD OF CA GRP PIN
030000519 01 CA STATE OF CA LIC#
CMM70562F 05 CA
institution
Provider Business Practice Location Address Details
Address
1121 Hammond St
City
State
Zip
95351-3509
Phone Number
209-576-4437
Fax Number
209-576-4494
person
Provider Business Mailing Address Details
Address
1121 Hammond St
City
State
Zip
95351-3509
Phone Number
209-576-4437
Fax Number
209-576-4494
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
030000519 (California)
Definition
Definition to come...
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