Golden Valley Health Center in Modesto - Federally Qualified Health Center (fqhc)
Golden Valley Health Center - NPI 1033193610
Golden Valley Health Center is a Federally Qualified Health Center (fqhc) in Modesto, California. Golden Valley Health Center practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Golden Valley Health Center is 1033193610. The last update date is 2017-02-09.
Golden Valley Health Center's current location address is 1510 Florida Ave, Modesto, California. You can contact this provider via phone number 2095497090 and fax number 2095497099. The mailing address for Golden Valley Health Center is 1510 Florida Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Golden Valley Health Center |
|---|---|
| Address | 1510 Florida Ave, Modesto, California |
| Phone Number | 2095497090 |
| Fax Number | 2095497099 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Weber Tony |
| Telephone Number | 2093846493 |
NPI Number Detail
| NPI Number | 1033193610 |
|---|---|
| Provider Enumeration Date | 2005-12-06 |
| Last Updated Date | 2017-02-09 |
Provider Mailing Address Detail
| Address | 1510 Florida Ave |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953504437 |
| Phone Number | 2095497090 |
| Fax Number | 2095497099 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 30000554 |
|
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 |
|---|---|---|---|
| CMM70634F | CA | -- | |
| GR008628A | CA | -- | |
| ZZZ52118Z | CA | BLUE SHIELD OF CA GRP PIN | |
| 3000054 | CA | STATE OF CA LIC# |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Golden Valley Health Center by the Centers for Medicare & Medicaid Services?
The Golden Valley Health Center has been issued the NPI (National Provider Identifier) 1033193610 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Golden Valley Health Center's physical address?
The Golden Valley Health Center is physically located at 1510 Florida Ave, in the city of Modesto, CA, with the postal code 953504437.
What is Golden Valley Health Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Golden Valley Health Center is Federally Qualified Health Center (fqhc), and the taxonomy code that classifies this field of practice is 261Qf0400X.
When did Golden Valley Health Center receive its 1033193610 assignment?
The Golden Valley Health Center was assigned its 1033193610 on 2005-12-06, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Golden Valley Health Center most recently updated or revised?
The information pertaining to Golden Valley Health Center, including its address, specialty, and other relevant details, was last updated or revised on 2017-02-09.