Northeast Valley Health Corporation in San Fernando - Federally Qualified Health Center (fqhc)
Northeast Valley Health Corporation - NPI 1053312587
Northeast Valley Health Corporation is a Federally Qualified Health Center (fqhc) in San Fernando, California. Northeast Valley Health Corporation practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Northeast Valley Health Corporation is 1053312587. The last update date is 2022-02-22.
Northeast Valley Health Corporation's current location address is 1172 N Maclay Ave, San Fernando, California. You can contact this provider via phone number 8188981388 and fax number 8183654031. The mailing address for Northeast Valley Health Corporation is 1172 N Maclay Ave, San Fernando, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northeast Valley Health Corporation |
|---|---|
| Address | 1172 N Maclay Ave, San Fernando, California |
| Phone Number | 8188981388 |
| Fax Number | 8183654031 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Wyard Kimberly |
| Telephone Number | 8188981388 |
NPI Number Detail
| NPI Number | 1053312587 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2022-02-22 |
Provider Mailing Address Detail
| Address | 1172 N Maclay Ave |
|---|---|
| City | San Fernando |
| State | California (CA) |
| Post Code | 913401328 |
| Phone Number | 8188981388 |
| Fax Number | 8183654031 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
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Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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What is the unique 10-digit identification code assigned to Northeast Valley Health Corporation by the Centers for Medicare & Medicaid Services?
The Northeast Valley Health Corporation has been issued the NPI (National Provider Identifier) 1053312587, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Northeast Valley Health Corporation?
The Northeast Valley Health Corporation is physically situated at 1172 N Maclay Ave, in the city of San Fernando, state of CA, with the postal code 913401328.
What is Northeast Valley Health Corporation's area of expertise and its corresponding taxonomy classification?
The Northeast Valley Health Corporation's field of specialization is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Northeast Valley Health Corporation receive the assignment of its 1053312587 from the Centers for Medicare & Medicaid Services?
The Northeast Valley Health Corporation was issued its 1053312587 by the Centers for Medicare & Medicaid Services on 2005-08-09.
When was the information related to Northeast Valley Health Corporation most recently updated or refreshed?
The details pertaining to the Northeast Valley Health Corporation, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-02-22.