| Valley Health Team, Inc | |
|
459 W Line St Ste C Bishop CA 93514-3333 | |
| (760) 784-7020 | |
| (559) 326-5323 |
| Full Name | Valley Health Team, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 459 W Line St Ste C, Bishop, California |
| Authorized Official Name and Position | Soyla A. Reyna-griffin (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5596932462 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Health Team, Inc Po Box 737 San Joaquin CA 93660-0737 Ph: (559) 693-2462 | Valley Health Team, Inc 459 W Line St Ste C Bishop CA 93514-3333 Ph: (760) 784-7020 |
| NPI Number | 1508465303 |
|---|---|
| Provider Enumeration Date | 10/22/2020 |
| Last Update Date | 10/22/2020 |
| Medicare PECOS PAC ID | 2365588902 |
|---|---|
| Medicare Enrollment ID | O20210505001566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508465303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Valley Health Team, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 459 W Line St, Bishop, CA 93514 Phone: 760-784-7020 Fax: 559-326-5323 |