institution
Golden Valley Health Center
Federally Qualified Health Center (FQHC) in Modesto, California
NPI 1336123926

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 1336123926 and holds a License No. 030000554 (California).

The current practice location address for Golden Valley Health Center is 1510 Florida Ave, Modesto, CA and can be reached out via phone at 209-574-1030 and via fax at 209-574-1038.

Location: 1510 Florida Ave, Modesto, CA, 95340-6805
institution
Provider Profile Details
NPI Number
1336123926
Provider Name
Golden Valley Health Center
Credential
Provider Entity Type
Organization
Address
1510 Florida Ave, Modesto, CA, 95340-6805
Phone Number
209-574-1030
Fax Number
209-574-1038
Provider Enumeration Date
12/06/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FHC70634F 01 CA FQHC#
ZZZ52118Z 01 CA BLUE SHIELD OF CA GRP PIN
GR008628A 05 CA
CMM70634F 01 CA CMM#
030000554 01 CA STATE OF CA LIC#
institution
Provider Business Practice Location Address Details
Address
1510 Florida Ave
City
State
Zip
95350-4437
Phone Number
209-574-1030
Fax Number
209-574-1038
person
Provider Business Mailing Address Details
Address
1510 Florida Ave
City
State
Zip
95350-4437
Phone Number
209-574-1030
Fax Number
209-574-1038
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
030000554 (California)
Definition
Definition to come...
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