Organization
GOLDEN VALLEY HEALTH CENTER
Active
Organization
GOLDEN VALLEY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY WEBER CEO (CEO)
(209) 385-5551
Entity
Organization
Contact information
Practice address
1540 FLORIDA AVENUE, MODESTO, CA 95350-4437
(209) 574-1030
(209) 574-1038
Mailing address
737 W CHILDS AVE, MERCED, CA 95341-6805
(209) 385-5529
(209) 383-1296
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
662674
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
662674
CLINIC LICENSE NUMBER
CA
Enumeration date
11/13/2014
Last updated
11/13/2014
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