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
1500 FLORIDA AVE, MODESTO, CA 95350-4408
(209) 574-1365
(209) 574-1372
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
03000054
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30000554
STATE OF CA DEPT OF PUBLIC HEALTH
CA
Enumeration date
01/19/2010
Last updated
02/27/2026
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