| Northeast Valley Health Corporation | |
|
17909 Soledad Canyon Rd Fl 2 Santa Clarita CA 91387-3210 | |
| (661) 673-8888 | |
| (661) 298-8668 |
| Full Name | Northeast Valley Health Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 17909 Soledad Canyon Rd Fl 2, Santa Clarita, California |
| Authorized Official Name and Position | Kimberly Wyard (CEO) |
| Authorized Official Contact | 8188981388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Valley Health Corporation 1172 N Maclay Ave Ofc San Fernando CA 91340-1328 Ph: (818) 898-1388 | Northeast Valley Health Corporation 17909 Soledad Canyon Rd Fl 2 Santa Clarita CA 91387-3210 Ph: (661) 673-8888 |
| NPI Number | 1548960834 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 03/06/2023 |
| Medicare PECOS PAC ID | 3173517323 |
|---|---|
| Medicare Enrollment ID | O20230712001089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548960834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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