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NPI Code Detail

MEDICARE: GOLDEN VALLEY HEALTH CENTERS

MEDICARE: GOLDEN VALLEY HEALTH CENTERS
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
11041C0700XClinical Social WorkerCA
21223G0001XGeneral Practice DentistryCA
3207Q00000XFamily Medicine PhysicianCA
4363LF0000XFamily Nurse PractitionerCA
5363AM0700XMedical Physician AssistantCA

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 : 1033322870
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOLDEN VALLEY HEALTH CENTERS
Provider Business Mailing Address
First Line : 737 W CHILDS AVE
Second Line :
City : MERCED
State : CA
Zip : 95340-6805
Country : US
Telephone Number : 209-383-1848
Fax Number : 209-384-3966
Provider Business Practice Location Address
First Line : 1717 LAS VEGAS ST
Second Line :
City : MODESTO
State : CA
Zip : 95358-5500
Country : US
Telephone Number : 209-576-4200
Fax Number : 209-384-3966
Authorized Official
Title or Position : ADM. ASSIST. CREDENTIALING
Name : MS. HELEN ROEHLK
Credential :
Telephone Number : 209-385-5434
Provider Enumeration Date : 05/08/2007
Last Update Date : 09/11/2025

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1942413786 — GOLDEN VALLEY HEALTH CENTERS
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1851504690 — GOLDEN VALLEY HEALTH CENTERS
Practice Location Address:
1717 LAS VEGAS ST
MODESTO, CA
95358-5500
Practice Phone: 209-576-4200
Practice Fax: 209-384-3966

Directions to “GOLDEN VALLEY HEALTH CENTERS ” Practice Location

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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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