Organization
CENTRAL VALLEY MATERNAL & CHILD CARE CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES SMITH (C.O.O.)
(559) 867-4416
Entity
Organization
Contact information
Practice address
1274 N IRWIN ST, HANFORD, CA 93230-2956
(559) 584-2342
(559) 582-2479
Mailing address
PO BOX 543, RIVERDALE, CA 93656-0543
(559) 867-4416
(559) 867-3010
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0061021
—
CA
Enumeration date
05/30/2007
Last updated
08/22/2020
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