Healthcare Provider Details

I. General information

NPI: 1750506267
Provider Name (Legal Business Name): GOLDEN VALLEY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

847 W CHILDS AVE
MERCED CA
95340-6805
US

IV. Provider business mailing address

737 W CHILDS AVE
MERCED CA
95340-6805
US

V. Phone/Fax

Practice location:
  • Phone: 209-383-7441
  • Fax:
Mailing address:
  • Phone: 209-383-1848
  • Fax: 209-384-3966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number040000180
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code111NI0900X
TaxonomyInternist Chiropractor
License Number040000180
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number040000180
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number040000180
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number040000180
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number040000180
License Number StateCA
# 7
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number040000180
License Number StateCA

VIII. Authorized Official

Name: HELEN ROEHLK
Title or Position: ADM. ASSIST. CREDENTIALING
Credential:
Phone: 209-385-5434