| Golden Valley Health Center | |
|
3940 Sandpiper Ave Merced CA 95340-8372 | |
| (866) 682-4842 | |
| Not Available |
| Full Name | Golden Valley Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3940 Sandpiper Ave, Merced, 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 95341-6805 Ph: (209) 384-6493 | Golden Valley Health Center 3940 Sandpiper Ave Merced CA 95340-8372 Ph: (866) 682-4842 |
| NPI Number | 1487639027 |
|---|---|
| Provider Enumeration Date | 12/07/2005 |
| Last Update Date | 10/12/2020 |
| Medicare PECOS PAC ID | 4183527187 |
|---|---|
| Medicare Enrollment ID | O20051111000062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487639027 | NPI | - | NPPES |
| ZZZ87686Z | Other | CA | BLUE SHIELD OF CA GRP PIN |
| 040000513 | Other | CA | STATE OF CA LIC# |
| CMM70909F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 040000513 (California) | Primary |
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