Golden Valley Health Center | |
1500 Florida Ave Modesto CA 95350-4408 | |
(209) 574-1365 | |
(209) 574-1372 |
Full Name | Golden Valley Health Center |
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Speciality | Clinic/Center |
Location | 1500 Florida Ave, Modesto, 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 |
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Golden Valley Health Center 737 W Childs Ave Merced CA 95341-6805 Ph: () - | Golden Valley Health Center 1500 Florida Ave Modesto CA 95350-4408 Ph: (209) 574-1365 |
NPI Number | 1518298306 |
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Provider Enumeration Date | 01/19/2010 |
Last Update Date | 02/09/2017 |
Medicare PECOS PAC ID | 4183527187 |
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Medicare Enrollment ID | O20221228000743 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518298306 | NPI | - | NPPES |
30000554 | Other | CA | STATE OF CA DEPT OF PUBLIC HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 03000054 (California) | Primary |
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Golden Valley Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1510 Florida Ave, Suite B, Modesto, CA 95350 Phone: 209-549-7090 Fax: 209-549-7099 | |
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