Northeast Valley Health Corporation in Van Nuys - Federally Qualified Health Center (fqhc)
Northeast Valley Health Corporation - NPI 1629079009
Northeast Valley Health Corporation is a Federally Qualified Health Center (fqhc) in Van Nuys, 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 1629079009. The last update date is 2022-02-23.
Northeast Valley Health Corporation's current location address is 14624 Sherman Way, Van Nuys, California. You can contact this provider via phone number 8189886335 and fax number 8189882140. The mailing address for Northeast Valley Health Corporation is 14624 Sherman Way, Van Nuys, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northeast Valley Health Corporation |
|---|---|
| Address | 14624 Sherman Way, Van Nuys, California |
| Phone Number | 8189886335 |
| Fax Number | 8189882140 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Wyard Kimberly |
| Telephone Number | 8188981388 |
NPI Number Detail
| NPI Number | 1629079009 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2022-02-23 |
Provider Mailing Address Detail
| Address | 14624 Sherman Way |
|---|---|
| City | Van Nuys |
| State | California (CA) |
| Post Code | 914052241 |
| Phone Number | 8189886335 |
| Fax Number | 8189882140 |
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 |
|---|---|---|---|
| CB204579 | CA | MEDICARE PART B |
Post Comment/ Review Below
What is the unique 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) 1629079009. 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 physical location address of Northeast Valley Health Corporation?
The Northeast Valley Health Corporation is physically situated at 14624 Sherman Way, in the city of Van Nuys, state of CA, with the postal code 914052241.
What is the area of specialization for Northeast Valley Health Corporation, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Northeast Valley Health Corporation is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of expertise is 261Qf0400X.
When was the Northeast Valley Health Corporation's 1629079009 issued?
The Northeast Valley Health Corporation's 1629079009 was issued on 2005-08-09.
As of what date was the information regarding Northeast Valley Health Corporation, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Northeast Valley Health Corporation, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-02-23.