Organization
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LOU LOPEZ (DIRECTOR OF BILLING)
(800) 492-4227
Entity
Organization
Contact information
Practice address
130 S 6TH ST, FOWLER, CA 93625-2438
(559) 646-6618
Mailing address
3875 W BEECHWOOD AVE, FRESNO, CA 93711-0795
(559) 646-6618
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
04/09/2025
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