| Golden Valley Health Center | |
|
797 W Childs Ave Merced CA 95341-6805 | |
| (209) 383-5871 | |
| (209) 383-1402 |
| Full Name | Golden Valley Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 797 W Childs Ave, Merced, California |
| Authorized Official Name and Position | Tony Weber (CEO) |
| Authorized Official Contact | 2093846493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Valley Health Center 737 W Childs Ave Merced CA 95341-6805 Ph: (209) 384-6493 | Golden Valley Health Center 797 W Childs Ave Merced CA 95341-6805 Ph: (209) 383-5871 |
| NPI Number | 1528042512 |
|---|---|
| Provider Enumeration Date | 12/02/2005 |
| Last Update Date | 02/09/2017 |
| Medicare PECOS PAC ID | 4183527187 |
|---|---|
| Medicare Enrollment ID | O20111227000805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528042512 | NPI | - | NPPES |
| GR0086284 | Medicaid | CA | |
| CMM70479F | Medicaid | CA | |
| ZZZ52191Z | Other | CA | BLUE SHIELD OF CA GRP PIN |
| 040000300 | Other | CA | STATE OF CA LIC# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 040000300 (California) | Primary |
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