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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