East Valley Community Health Center, Inc. in West Covina - Federally Qualified Health Center (fqhc)

East Valley Community Health Center, Inc. - NPI 1952427411

East Valley Community Health Center, Inc. is a Federally Qualified Health Center (fqhc) in West Covina, California. East Valley Community Health Center, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for East Valley Community Health Center, Inc. is 1952427411. The last update date is 2020-08-22.

East Valley Community Health Center, Inc.'s current location address is 420 S Glendora Ave, West Covina, California. You can contact this provider via phone number 6269195724 and fax number 9096239648. The mailing address for East Valley Community Health Center, Inc. is 420 S Glendora Ave, West Covina, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization East Valley Community Health Center, Inc.
Address 420 S Glendora Ave, West Covina, California
Phone Number 6269195724
Fax Number 9096239648
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF EXEC
Authorized Official Name Mardini Alicia
Telephone Number 6269194333

NPI Number Detail

NPI Number 1952427411
Provider Enumeration Date 2007-03-22
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 420 S Glendora Ave
City West Covina
State California (CA)
Post Code 917903001
Phone Number 6269195724
Fax Number 9096239648

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
BCP12048F CA --

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FAQs about East Valley Community Health Center, Inc.

What is the unique identifier code issued to East Valley Community Health Center, Inc. by the Centers for Medicare & Medicaid Services (CMS)?

The East Valley Community Health Center, Inc. has been assigned the NPI (National Provider Identifier) 1952427411. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where East Valley Community Health Center, Inc. is physically located?

The East Valley Community Health Center, Inc. is situated at the following address: 420 S Glendora Ave, West Covina, CA 917903001.

What is East Valley Community Health Center, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for East Valley Community Health Center, Inc. is Federally Qualified Health Center (fqhc), and the corresponding taxonomy classification code for this specialized field is 261Qf0400X.

On what date did the East Valley Community Health Center, Inc. receive its 1952427411 assignment from the Centers for Medicare & Medicaid Services?

The East Valley Community Health Center, Inc. was assigned its 1952427411 by the Centers for Medicare & Medicaid Services on 2007-03-22.

When was the East Valley Community Health Center, Inc.'s information last updated?

The East Valley Community Health Center, Inc.'s information was last updated on 2020-08-22.

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