Organization
GOLDEN VALLEY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID QUACKENBUSH (CEO AND PRESIDENT)
(209) 913-2261
Entity
Organization
Contact information
Practice address
3940 SANDPIPER AVE., MERCED, CA 95340
(209) 381-4104
(209) 381-4109
Mailing address
1910 CUSTOMER CARE WAY, ATWATER, CA 95301-5167
(209) 722-4842
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040000513
STATE LICENSE
CA
01
—
051034
CCN
CA
05
—
1487639027
—
CA
01
—
ZZZ25199Z
MEDICARE
CA
Enumeration date
10/31/2018
Last updated
02/26/2026
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