| Golden Valley Health Center | |
|
3940 Sandpiper Ave. Merced CA 95340 | |
| (209) 381-4104 | |
| (209) 381-4109 |
| Full Name | Golden Valley Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3940 Sandpiper Ave., Merced, California |
| Authorized Official Name and Position | Tony Weber (CEO) |
| Authorized Official Contact | 2093855462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Valley Health Center 737 W Childs Ave Merced CA 95341-6805 Ph: (209) 383-1848 | Golden Valley Health Center 3940 Sandpiper Ave. Merced CA 95340 Ph: (209) 381-4104 |
| NPI Number | 1508333253 |
|---|---|
| Provider Enumeration Date | 10/31/2018 |
| Last Update Date | 11/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508333253 | NPI | - | NPPES |
| ZZZ25199Z | Other | CA | MEDICARE |
| 040000513 | Other | CA | STATE LICENSE |
| 051034 | Other | CA | CCN |
| 1487639027 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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