Northeast Valley Health Corporation in San Fernando - Federally Qualified Health Center (fqhc)
Northeast Valley Health Corporation - NPI 1235130600
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 1235130600. 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 | 1235130600 |
|---|---|
| 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| W14819 | MIN |
Post Comment/ Review Below
What is the unique identifier code issued to Northeast Valley Health Corporation by the Centers for Medicare & Medicaid Services?
The Northeast Valley Health Corporation has been assigned the NPI (National Provider Identifier) 1235130600. This 10-digit code serves as a unique identification number for healthcare providers issued 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 specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Northeast Valley Health Corporation's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1235130600 to Northeast Valley Health Corporation?
The Northeast Valley Health Corporation received its 1235130600 assignment from the Centers for Medicare & Medicaid Services on 2005-08-09.
As of what date were the Northeast Valley Health Corporation's details last updated?
The information pertaining to the Northeast Valley Health Corporation, including its address, specialty, and other details, was most recently updated on 2022-02-22.