| Golden Valley Health Centers | |
|
13162 Jefferson St Le Grand CA 95333-9766 | |
| (209) 389-1900 | |
| (209) 384-3966 |
| Full Name | Golden Valley Health Centers |
|---|---|
| Speciality | Physician Assistant - Medical |
| Location | 13162 Jefferson St, Le Grand, California |
| Authorized Official Name and Position | Helen Roehlk (ADM ASSIST CREDENTIALING) |
| Authorized Official Contact | 2093855434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Valley Health Centers 737 W Childs Ave Merced CA 95340-6805 Ph: (209) 383-1848 | Golden Valley Health Centers 13162 Jefferson St Le Grand CA 95333-9766 Ph: (209) 389-1900 |
| NPI Number | 1467672253 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467672253 | NPI | - | NPPES |
| HAP71050F | Other | CA | FPACT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
| 363AM0700X | Physician Assistant - Medical | (California) | Primary |
Golden Valley Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13161 Jefferson St, Le Grand, CA 95333 Phone: 209-389-1900 Fax: 209-389-1907 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13161 Jefferson St, Le Grand, CA 95333 Phone: 209-389-1900 |