Mountain Valleys Health Centers in Tulelake - Federally Qualified Health Center (fqhc)
Mountain Valleys Health Centers - NPI 1679645121
Mountain Valleys Health Centers is a Federally Qualified Health Center (fqhc) in Tulelake, California. Mountain Valleys Health Centers practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Mountain Valleys Health Centers is 1679645121. The last update date is 2023-07-28.
Mountain Valleys Health Centers's current location address is 498 Main Street, Tulelake, California. You can contact this provider via phone number 5309999060 and fax number 5306672562. The mailing address for Mountain Valleys Health Centers is 498 Main Street, Tulelake, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountain Valleys Health Centers |
|---|---|
| Address | 498 Main Street, Tulelake, California |
| Phone Number | 5309999060 |
| Fax Number | 5306672562 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Watkins Brandon |
| Telephone Number | 5309999010 |
NPI Number Detail
| NPI Number | 1679645121 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2023-07-28 |
Provider Mailing Address Detail
| Address | 498 Main Street |
|---|---|
| City | Tulelake |
| State | California (CA) |
| Post Code | 961340725 |
| Phone Number | 5309999060 |
| Fax Number | 5306672562 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1679645121 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mountain Valleys Health Centers by the Centers for Medicare & Medicaid Services?
The Mountain Valleys Health Centers has been issued the NPI (National Provider Identifier) 1679645121. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mountain Valleys Health Centers is physically located?
The Mountain Valleys Health Centers is physically situated at the following address: 498 Main Street, Tulelake, CA, 961340725.
What is the Mountain Valleys Health Centers's specialty and taxonomy code?
The Mountain Valleys Health Centers's specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679645121 to Mountain Valleys Health Centers?
The Centers for Medicare & Medicaid Services originally issued the 1679645121 to Mountain Valleys Health Centers on 2006-11-13.
As of what date were the details related to Mountain Valleys Health Centers most recently updated or revised?
The information pertaining to Mountain Valleys Health Centers, including its address, specialty, and other relevant details, was last updated or revised on 2023-07-28.
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