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NPI Code Detail

MEDICARE: UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

MEDICARE: UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
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)

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 : 1649252198
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
Provider Business Mailing Address
First Line : PO BOX 790
Second Line :
City : PARLIER
State : CA
Zip : 93648-0790
Country : US
Telephone Number : 559-646-3561
Fax Number : 559-646-6915
Provider Business Practice Location Address
First Line : 445 11TH ST
Second Line :
City : ORANGE COVE
State : CA
Zip : 93646-2211
Country : US
Telephone Number : 559-626-4031
Fax Number : 559-626-4963
Authorized Official
Title or Position : CEO
Name : MR. BENJAMIN H FLORES
Credential :
Telephone Number : 559-646-6618
Provider Enumeration Date : 11/18/2005
Last Update Date : 08/22/2020

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Directions to “UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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