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Organization

VALLEY FAMILY HEALTH CENTER MEDICAL GROUP, INC.

Active
Other names
Maternal & Child Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES W SMITH FNP (COO)
(559) 867-4416
Entity
Organization

Contact information

Practice address
205 C ST, LEMOORE, CA 93245-2930
(559) 924-7200
(559) 924-3537
Mailing address
PO BOX 543, RIVERDALE, CA 93656-0543
(559) 867-4416
(559) 867-3010

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
HAP53854F
CA
05
RHM53854F
CA
Enumeration date
09/21/2006
Last updated
10/14/2008
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