| Golden Valley Health Center | |
|
1801 Tully Rd Ste F1 Modesto CA 95350-2937 | |
| (866) 682-4842 | |
| (877) 435-6573 |
| Full Name | Golden Valley Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1801 Tully Rd Ste F1, Modesto, California |
| Authorized Official Name and Position | Genevieve Medina (CREDENTIALING MANAGER) |
| 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 1801 Tully Rd Ste F1 Modesto CA 95350-2937 Ph: (866) 682-4842 |
| NPI Number | 1699332247 |
|---|---|
| Provider Enumeration Date | 05/20/2019 |
| Last Update Date | 05/20/2019 |
| Medicare PECOS PAC ID | 4183527187 |
|---|---|
| Medicare Enrollment ID | O20200728003378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699332247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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