Golden Valley Health Center in Modesto - Federally Qualified Health Center (fqhc)
Golden Valley Health Center - NPI 1205810389
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 1205810389. The last update date is 2017-02-09.
Golden Valley Health Center's current location address is 1121 Hammond St, Modesto, California. You can contact this provider via phone number 2095764437 and fax number 2095764494. The mailing address for Golden Valley Health Center is 1121 Hammond St, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Golden Valley Health Center |
|---|---|
| Address | 1121 Hammond St, Modesto, California |
| Phone Number | 2095764437 |
| Fax Number | 2095764494 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Weber Tony |
| Telephone Number | 2093846493 |
NPI Number Detail
| NPI Number | 1205810389 |
|---|---|
| Provider Enumeration Date | 2005-12-02 |
| Last Updated Date | 2017-02-09 |
Provider Mailing Address Detail
| Address | 1121 Hammond St |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953513509 |
| Phone Number | 2095764437 |
| Fax Number | 2095764494 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 30000519 |
|
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 |
|---|---|---|---|
| ZZZ52521Z | CA | BLUE SHIELD OF CA GRP PIN | |
| 30000519 | CA | STATE OF CA LIC# | |
| CMM70562F | CA | -- |
Post Comment/ Review Below
What is the Golden Valley Health Center's 1205810389?
The Golden Valley Health Center's NPI (National Provider Identifier) Number is 1205810389. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Golden Valley Health Center is geographically located?
The Golden Valley Health Center is physically situated at the following location: 1121 Hammond St, Modesto, CA, 953513509.
What is the Golden Valley Health Center's area of specialization and corresponding taxonomy classification?
The Golden Valley Health Center's specialty field is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their specialties.
When did the Golden Valley Health Center receive its 1205810389?
The Golden Valley Health Center was issued its 1205810389 on 2005-12-02, which is the date when the organization was assigned this unique identifier.
When was the information related to Golden Valley Health Center most recently updated or refreshed?
The details pertaining to the Golden Valley Health Center, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-02-09.