Organization
VALLEY FAMILY HEALTH CENTER MEDICAL GROUP, INC.
Active
Other names
Maternal & Child Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES W SMITH FNP (COO)
(559) 867-4416
Entity
Organization
Contact information
Practice address
3567 W MT WHITNEY AVE, RIVERDALE, CA 93656
(559) 867-7200
(559) 867-0152
Mailing address
PO BOX 543, RIVERDALE, CA 93656-0543
(559) 867-4416
(559) 867-3010
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HAP03932F
—
CA
05
—
RHM03932F
—
CA
Enumeration date
09/27/2006
Last updated
10/17/2008
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