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NPI Code Detail

MEDICARE: CLINICA DE SALUD DEL VALLE DE SALINAS

MEDICARE: CLINICA DE SALUD DEL VALLE DE SALINAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)070000369CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013058106
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLINICA DE SALUD DEL VALLE DE SALINAS
Provider Business Mailing Address
First Line : 55 PLAZA CIR
Second Line :
City : SALINAS
State : CA
Zip : 93901-2952
Country : US
Telephone Number : 831-757-8689
Fax Number : 831-757-3721
Provider Business Practice Location Address
First Line : 10561 MERRITT ST
Second Line :
City : CASTROVILLE
State : CA
Zip : 95012-3310
Country : US
Telephone Number : 831-633-1514
Fax Number : 831-633-0311
Authorized Official
Title or Position : CEO
Name : DR. MAXIMILIANO CUEVAS
Credential : M.D.
Telephone Number : 831-757-8689
Provider Enumeration Date : 02/09/2007
Last Update Date : 06/06/2024

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