Organization
GOLDEN VALLEY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GENEVIEVE MEDINA (CREDENTIALING MANAGER)
(209) 384-6493
Entity
Organization
Contact information
Practice address
1801 TULLY RD STE F1, MODESTO, CA 95350-2937
(866) 682-4842
(877) 435-6573
Mailing address
737 W CHILDS AVE, MERCED, CA 95341-6805
(209) 384-6493
(855) 202-9336
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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