| Golden Valley Health Center | |
|
302 Northgate Dr Manteca CA 95336-3139 | |
| (209) 239-5299 | |
| (209) 239-5295 |
| Full Name | Golden Valley Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 302 Northgate Dr, Manteca, California |
| Authorized Official Name and Position | Tony Weber (CEO) |
| Authorized Official Contact | 2093855462 |
| 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 95341-6805 Ph: (209) 383-1848 | Golden Valley Health Center 302 Northgate Dr Manteca CA 95336-3139 Ph: (209) 239-5299 |
| NPI Number | 1477020121 |
|---|---|
| Provider Enumeration Date | 10/31/2018 |
| Last Update Date | 10/31/2018 |
| Medicare PECOS PAC ID | 4183527187 |
|---|---|
| Medicare Enrollment ID | O20190508003127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477020121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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