Organization
GOLDEN VALLEY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY WEBER (CEO)
(209) 383-1848
Entity
Organization
Contact information
Practice address
1405 CALIFORNIA AVE, DOS PALOS, CA 93620-2300
(209) 392-2111
(209) 384-3966
Mailing address
737 W CHILDS AVE, MERCED, CA 95340-6805
(209) 383-1848
(209) 384-3966
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
040000231
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CA
363AM0700X
Medical Physician Assistant
040000231
CA
363LF0000X
Family Nurse Practitioner
040000231
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HAP03904F
FPACT
CA
Enumeration date
04/26/2007
Last updated
01/25/2018
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