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NPI Code Detail

MEDICARE: GOLDEN VALLEY HEALTH CENTER

MEDICARE: GOLDEN VALLEY HEALTH CENTER
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
1207Q00000XFamily Medicine Physician040000231CA
2363AM0700XMedical Physician Assistant040000231CA
3363LF0000XFamily Nurse Practitioner040000231CA
4261QF0400XFederally Qualified Health Center (FQHC)CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HAP03904FOTHERCAFPACT

General Provider Information

NPI Number : 1770703571
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOLDEN VALLEY HEALTH CENTER
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 : 1405 CALIFORNIA AVE
Second Line :
City : DOS PALOS
State : CA
Zip : 93620-2300
Country : US
Telephone Number : 209-392-2111
Fax Number : 209-384-3966
Authorized Official
Title or Position : CEO
Name : MR. TONY WEBER
Credential :
Telephone Number : 209-383-1848
Provider Enumeration Date : 04/26/2007
Last Update Date : 01/25/2018

Similar Medicare Providers

1770567778 — GOLDEN VALLEY HEALTH CENTER
Practice Location Address:
1405 CALIFORNIA AVE
DOS PALOS, CA
93620-2300
Practice Phone: 209-392-2111
Practice Fax: 209-392-2850
1821188269 — MRS. LETY ELIZABETH COSTA MD
Practice Location Address:
1405 CALIFORNIA AVE
DOS PALOS, CA
93620-2300
Practice Phone: 209-722-4842
Practice Fax:
1952521759 — GOLDEN VALLEY HEALTH CENTERS
Practice Location Address:
1405 CALIFORNIA AVE
DOS PALOS, CA
93620-2300
Practice Phone: 209-392-2111
Practice Fax: 209-384-3699
1861612665 — GOLDEN VALLEY HEALTH CENTERS
Practice Location Address:
1405 CALIFORNIA AVE
DOS PALOS, CA
93620-2300
Practice Phone: 209-392-2111
Practice Fax: 209-384-3966
1689894487 — GOLDEN VALLEY HEALTH CENTERS
Practice Location Address:
1405 CALIFORNIA AVE
DOS PALOS, CA
93620-2300
Practice Phone: 209-392-2111
Practice Fax: 209-384-3966
1922460914 — DIANA HUIZAR FNP
Practice Location Address:
1405 CALIFORNIA AVE
DOS PALOS, CA
93620-2300
Practice Phone: 209-392-2111
Practice Fax: 209-392-2850

Directions to “GOLDEN VALLEY HEALTH CENTER ” Practice Location

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