Organization
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
Active
Organization
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN H FLORES (CEO)
(559) 646-6618
Entity
Organization
Contact information
Practice address
476 E WASHINGTON, EARLIMART, CA 93219
(661) 849-2781
(661) 849-5719
Mailing address
PO BOX 790, PARLIER, CA 93648
(559) 646-3561
(559) 646-6915
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341
BLUE CROSS MEDI-CAL
CA
01
—
351
HEALTH NET MEDI-CAL
CA
05
—
FHC03861F
—
CA
Enumeration date
11/18/2005
Last updated
10/05/2007
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