Northeast Valley Health Corporation in San Fernando - Federally Qualified Health Center (fqhc)
Northeast Valley Health Corporation - NPI 1114928595
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 1114928595. 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 | 1114928595 |
|---|---|
| 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 |
|
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 |
|---|---|---|---|
| W14819A | MIN |
Post Comment/ Review Below
What is the Northeast Valley Health Corporation's 1114928595?
The Northeast Valley Health Corporation's NPI (National Provider Identifier) Number is 1114928595. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Northeast Valley Health Corporation's physical address?
The Northeast Valley Health Corporation is physically located at 1172 N Maclay Ave, in the city of San Fernando, CA, with the postal code 913401328.
What is Northeast Valley Health Corporation's specialized field of practice, and what is the corresponding taxonomy classification code?
The Northeast Valley Health Corporation's area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
On what date was the 1114928595 assigned to Northeast Valley Health Corporation?
The Northeast Valley Health Corporation was issued its 1114928595 on 2005-08-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Northeast Valley Health Corporation most recently updated or revised?
The information pertaining to Northeast Valley Health Corporation, including its address, specialty, and other relevant details, was last updated or revised on 2022-02-22.