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
4707 GREENLEAF CT, MODESTO, CA 95356-8733
(866) 682-4842
(855) 202-9336
Mailing address
737 W CHILDS AVE, MERCED, CA 95341-6805
(209) 384-6493
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CA
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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