Healthcare Provider Details

I. General information

NPI: 1790331817
Provider Name (Legal Business Name): VALLEY HEALTHCARE CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2019
Last Update Date: 08/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

252 N HIGHWAY 65
LINDSAY CA
93247-2702
US

IV. Provider business mailing address

590 W PUTNAM AVE STE 11
PORTERVILLE CA
93257-3257
US

V. Phone/Fax

Practice location:
  • Phone: 559-781-3700
  • Fax:
Mailing address:
  • Phone: 559-781-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN ANGELL
Title or Position: CFO
Credential:
Phone: 559-306-1352