Organization
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LOU LOPEZ CPC (DIRECTOR OF BILLING)
(800) 492-4227
Entity
Organization
Contact information
Practice address
2497 HERNDON AVE STE 103, CLOVIS, CA 93611-8977
(800) 492-4227
Mailing address
3875 W BEECHWOOD AVE, FRESNO, CA 93711-0795
(800) 492-4227
(559) 646-6614
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/03/2020
Last updated
04/09/2025
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