Organization · Type 2 NPI
Golden Valley Health Center
Federally Qualified Health Center (FQHC) · Modesto, CA
NPI number
1700282175
Active
Practice location
1540 Florida Avenue
Modesto, CA 95350-4437
Fax (209) 574-1038
Mailing address
737 W Childs Ave
Merced, CA 95341-6805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 662674 (CA) |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1700282175
Golden Valley Health Center's National Provider Identifier is 1700282175, issued on Nov 13, 2014. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Modesto, CA. The record was last updated on Nov 13, 2014.