| Golden Valley Health Center | |
|
208 W. Coolidge Ave. Modesto CA 95350 | |
| (866) 682-4842 | |
| Not Available |
| Full Name | Golden Valley Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 208 W. Coolidge Ave., Modesto, California |
| Authorized Official Name and Position | Tony Weber (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8666824842 |
| 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: (866) 682-4842 | Golden Valley Health Center 208 W. Coolidge Ave. Modesto CA 95350 Ph: (866) 682-4842 |
| NPI Number | 1427717644 |
|---|---|
| Provider Enumeration Date | 12/15/2021 |
| Last Update Date | 12/15/2021 |
| Medicare PECOS PAC ID | 4183527187 |
|---|---|
| Medicare Enrollment ID | O20220526002104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427717644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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