Golden Valley Health Center in Modesto - Federally Qualified Health Center (fqhc)
Golden Valley Health Center - NPI 1295719813
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 1295719813. The last update date is 2017-02-09.
Golden Valley Health Center's current location address is 1130 6th St, Modesto, California. You can contact this provider via phone number 2094915550 and fax number 2094915468. The mailing address for Golden Valley Health Center is 1130 6th St, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Golden Valley Health Center |
|---|---|
| Address | 1130 6th St, Modesto, California |
| Phone Number | 2094915550 |
| Fax Number | 2094915468 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Weber Tony |
| Telephone Number | 2093846493 |
NPI Number Detail
| NPI Number | 1295719813 |
|---|---|
| Provider Enumeration Date | 2005-12-06 |
| Last Updated Date | 2017-02-09 |
Provider Mailing Address Detail
| Address | 1130 6th St |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953542203 |
| Phone Number | 2094915550 |
| Fax Number | 2094915468 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 30000757 |
|
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 |
|---|---|---|---|
| 30000757 | CA | STATE OF CA LIC# | |
| CMM70889F | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Golden Valley Health Center by the Centers for Medicare & Medicaid Services?
The Golden Valley Health Center has been assigned the NPI (National Provider Identifier) 1295719813 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Golden Valley Health Center is physically located?
The Golden Valley Health Center is situated at the following address: 1130 6Th St, Modesto, CA 953542203.
What is Golden Valley Health Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Golden Valley Health Center is Federally Qualified Health Center (fqhc), and the taxonomy code that categorizes this field of expertise is 261Qf0400X.
On what date did the Golden Valley Health Center receive its 1295719813 assignment from the Centers for Medicare & Medicaid Services?
The Golden Valley Health Center was assigned its 1295719813 by the Centers for Medicare & Medicaid Services on 2005-12-06.
When was the information regarding Golden Valley Health Center, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Golden Valley Health Center, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-02-09.