Golden Valley Health Center

LBN: Golden Valley Health Center
Golden Valley Health Center is an health care organization with primary practice located at 401 Lesher Dr , Merced CA 95341-6572. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Golden Valley Health Center can be contacted via phone (209) 381-4114, or through Weber, Tony via phone (209) 384-6493.

Contact Information

Primary practice address
401 Lesher Dr Merced CA 95341-6572
Phone: (209) 381-4114
Fax: (209) 381-4117
Website:
Map and Directions
Authorized official contact:
Name: Weber, Tony
Phone: (209) 384-6493

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 040000550 California

Profile Details

NPI number 1114901121
LBN Legal business name Golden Valley Health Center
DBA Doing business as
Authorized official Weber, Tony
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2005
Last updated Feb 9th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114901121 NPPES
California Other 040000550 STATE OF CA LIC#
California MEDICAID CMM70998F STATE OF CA LIC#

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