Golden Valley Health Center | |
209 Kerr Ave Modesto CA 95354-3808 | |
(209) 576-6766 | |
(209) 576-6770 |
Full Name | Golden Valley Health Center |
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Speciality | Clinic/Center |
Location | 209 Kerr Ave, Modesto, 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 |
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Golden Valley Health Center 1910 Customer Care Way Atwater CA 95301-5167 Ph: (209) 383-1848 | Golden Valley Health Center 209 Kerr Ave Modesto CA 95354-3808 Ph: (209) 576-6766 |
NPI Number | 1568939205 |
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Provider Enumeration Date | 10/31/2018 |
Last Update Date | 10/31/2018 |
Medicare PECOS PAC ID | 4183527187 |
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Medicare Enrollment ID | O20200320001716 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568939205 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | 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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Keith Leibowitz M.d. A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203 Park Ave, Modesto, CA 95354 Phone: 757-645-7079 |