MEDICARE: UNITED HEALTH CENTERS OF THE SJV

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
1	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992787444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED HEALTH CENTERS OF THE SJV

Provider Business Mailing Address
First Line	:	PO BOX 790
Second Line	:
City	:	PARLIER
State	:	CA
Zip	:	93648-0790
Country	:	US
Telephone Number	:	559-646-3561
Fax Number	:	559-646-6915

Provider Business Practice Location Address
First Line	:	2502 JENSEN AVE
Second Line	:	STE 101
City	:	SANGER
State	:	CA
Zip	:	93657-2250
Country	:	US
Telephone Number	:	559-875-6000
Fax Number	:	559-875-6016

Authorized Official
Title or Position	:	CEO
Name	:	MR. BENJAMIN H FLORES
Credential	:
Telephone Number	:	559-646-6618

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	08/22/2020

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Directions to “UNITED HEALTH CENTERS OF THE SJV ” Practice Location

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