Organization
VALLEY HEALTH TEAM, INC.
Active
Other names
San Joaquin Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SOYLA R. GRIFFIN C.P.A (CHIEF EXECUTIVE OFFICER)
(559) 693-2462
Entity
Organization
Contact information
Practice address
21890 COLORADO AVE, SAN JOAQUIN, CA 93660-0737
(559) 693-2462
(559) 693-2398
Mailing address
PO BOX 737, SAN JOAQUIN, CA 93660-0737
(559) 693-2462
(559) 693-4382
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC03875F
—
CA
Enumeration date
12/29/2006
Last updated
07/27/2019
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