| Northeast Valley Health Corporation | |
|
1172 N Maclay Ave San Fernando CA 91340-1328 | |
| (818) 898-1388 | |
| (818) 270-9585 |
| Full Name | Northeast Valley Health Corporation |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1172 N Maclay Ave, San Fernando, California |
| Authorized Official Name and Position | Kimberly Wyard (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8188981388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Valley Health Corporation 1172 N Maclay Ave San Fernando CA 91340-1328 Ph: (818) 898-1388 | Northeast Valley Health Corporation 1172 N Maclay Ave San Fernando CA 91340-1328 Ph: (818) 898-1388 |
| NPI Number | 1679332647 |
|---|---|
| Provider Enumeration Date | 03/13/2024 |
| Last Update Date | 03/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679332647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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