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
1274 N IRWIN ST, HANFORD, CA 93230-2956
(559) 582-2342
(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
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HAP53940F
—
CA
05
—
RHM53940F
—
CA
Enumeration date
09/21/2006
Last updated
10/14/2008
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