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)
(209) 384-6493
Entity
Organization
Contact information
Practice address
2760 3RD ST, CERES, CA 95307-3220
(209) 556-5011
(209) 556-5095
Mailing address
737 WEST CHILDS AVENUE, MERCED, CA 95340
(209) 384-6493
(209) 383-1296
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
050000303
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051089
MEDICARE NGS
CA
05
—
CMM71154F
—
CA
01
—
ZZZ50880Z
BLUE SHIELD OF CA
CA
Enumeration date
09/07/2006
Last updated
02/09/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up