Golden Valley Health Center in Modesto - Federally Qualified Health Center (fqhc)
Golden Valley Health Center - NPI 1336123926
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 1336123926. 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 2095741030 and fax number 2095741038. 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 | 2095741030 |
| Fax Number | 2095741038 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Weber Tony |
| Telephone Number | 2093846493 |
NPI Number Detail
| NPI Number | 1336123926 |
|---|---|
| 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 | 2095741030 |
| Fax Number | 2095741038 |
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 |
|---|---|---|---|
| FHC70634F | CA | FQHC# | |
| ZZZ52118Z | CA | BLUE SHIELD OF CA GRP PIN | |
| GR008628A | CA | -- | |
| CMM70634F | CA | CMM# | |
| 30000554 | 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) 1336123926 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Golden Valley Health Center's facilities are geographically located?
The facilities of Golden Valley Health Center are physically situated at the following location: 1510 Florida Ave, Modesto, CA, 953504437.
What is Golden Valley Health Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Golden Valley Health Center is Federally Qualified Health Center (fqhc), and the taxonomy classification code that categorizes this area of expertise is 261Qf0400X.
When was the Golden Valley Health Center's 1336123926 issued?
The Golden Valley Health Center's 1336123926 was issued on 2005-12-06.
As of what date were the details pertaining to Golden Valley Health Center last refreshed?
The information related to the Golden Valley Health Center, including its address, specialty, and other relevant details, was last updated on 2017-02-09.