Golden Valley Health Center in Modesto - Federally Qualified Health Center (fqhc)

Golden Valley Health Center - NPI 1962680421

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 1962680421. The last update date is 2017-02-09.

Golden Valley Health Center's current location address is 2101 Tenaya Dr, Modesto, California. You can contact this provider via phone number 2095766766 and fax number 2095766776. The mailing address for Golden Valley Health Center is 2101 Tenaya Dr, Modesto, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Golden Valley Health Center
Address 2101 Tenaya Dr, Modesto, California
Phone Number 2095766766
Fax Number 2095766776
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Weber Tony
Telephone Number 2093846493

NPI Number Detail

NPI Number 1962680421
Provider Enumeration Date 2008-02-07
Last Updated Date 2017-02-09

Provider Mailing Address Detail

Address 2101 Tenaya Dr
City Modesto
State California (CA)
Post Code 953543930
Phone Number 2095766766
Fax Number 2095766776

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
05-1138 CA MEDICARE ID

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FAQs about Golden Valley Health Center

What is the Golden Valley Health Center's unique identification number?

The Golden Valley Health Center has been assigned the NPI (National Provider Identifier) Number 1962680421 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Golden Valley Health Center is located?

The Golden Valley Health Center is situated at the following address: 2101 Tenaya Dr, Modesto, CA, 953543930.

What is Golden Valley Health Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Golden Valley Health Center's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1962680421 to Golden Valley Health Center?

The Golden Valley Health Center received its 1962680421 assignment from the Centers for Medicare & Medicaid Services on 2008-02-07.

When was the information pertaining to Golden Valley Health Center most recently updated or revised?

The details related to Golden Valley Health Center, including its address, specialty, and other relevant information, were last updated or revised on 2017-02-09.

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