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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
1261QF0400XFederally Qualified Health Center (FQHC)CA

General Provider Information

NPI Number : 1114434552
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOLDEN VALLEY HEALTH CENTERS
Provider Business Mailing Address
First Line : 1910 CUSTOMER CARE WAY
Second Line :
City : ATWATER
State : CA
Zip : 95301-5167
Country : US
Telephone Number : 209-722-4842
Fax Number :
Provider Business Practice Location Address
First Line : 2240 W MONTE VISTA AVE
Second Line :
City : TURLOCK
State : CA
Zip : 95382-9667
Country : US
Telephone Number : 209-667-1270
Fax Number : 209-667-1269
Authorized Official
Title or Position : CEO
Name : DAVID QUACKENBUSH
Credential :
Telephone Number : 209-913-2261
Provider Enumeration Date : 01/08/2018
Last Update Date : 02/20/2026

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Directions to “GOLDEN VALLEY HEALTH CENTERS ” Practice Location

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