| Golden Valley Health Center | |
|
1405 California Ave Dos Palos CA 93620-2300 | |
| (209) 392-2111 | |
| (209) 392-2850 |
| Full Name | Golden Valley Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1405 California Ave, Dos Palos, California |
| Authorized Official Name and Position | Tony Weber (CEO) |
| Authorized Official Contact | 2093846493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Valley Health Center 737 W Childs Ave Merced CA 95340-6805 Ph: (209) 384-6493 | Golden Valley Health Center 1405 California Ave Dos Palos CA 93620-2300 Ph: (209) 392-2111 |
| NPI Number | 1770567778 |
|---|---|
| Provider Enumeration Date | 12/02/2005 |
| Last Update Date | 02/09/2017 |
| Medicare PECOS PAC ID | 4183527187 |
|---|---|
| Medicare Enrollment ID | O20101105001259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770567778 | NPI | - | NPPES |
| 040000231 | Other | CA | STATE OF CA LIC# |
| GR0086287 | Medicaid | CA | |
| CMM03904F | Medicaid | CA | |
| ZZZ52124Z | Other | CA | BLUE SHIELD OF CA GRP PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 040000231 (California) | Primary |
Dos Palos Memorial Hospital, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2118 Marguerite St, Dos Palos, CA 93620 Phone: 209-392-6121 Fax: 209-392-6881 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 California Ave, Dos Palos, CA 93620 Phone: 209-392-2111 Fax: 209-384-3966 | |
Golden Valley Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 California Ave, Dos Palos, CA 93620 Phone: 209-392-2111 Fax: 209-384-3966 | |
Dos Palos Apex Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1549 Golden Gate St., Dos Palos, CA 93620 Phone: 209-392-0022 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 California Ave, Dos Palos, CA 93620 Phone: 209-392-2111 Fax: 209-384-3966 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 California Ave, Dos Palos, CA 93620 Phone: 209-392-2111 Fax: 209-384-3699 |