| Golden Valley Health Center | |
|
1510 Florida Ave Suite B Modesto CA 95350-4437 | |
| (209) 549-7090 | |
| (209) 549-7099 |
| Full Name | Golden Valley Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1510 Florida Ave, Modesto, 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 1510 Florida Ave Suite B Modesto CA 95350-4437 Ph: (209) 549-7090 |
| NPI Number | 1033193610 |
|---|---|
| Provider Enumeration Date | 12/06/2005 |
| Last Update Date | 02/09/2017 |
| Medicare PECOS PAC ID | 4183527187 |
|---|---|
| Medicare Enrollment ID | O20111109000796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033193610 | NPI | - | NPPES |
| CMM70634F | Medicaid | CA | |
| GR008628A | Medicaid | CA | |
| ZZZ52118Z | Other | CA | BLUE SHIELD OF CA GRP PIN |
| 03000054 | Other | CA | STATE OF CA LIC# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 030000554 (California) | Primary |
Tushar R. Modi, M.d. Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 413 E Orangeburg Ave Ste A, Modesto, CA 95350 Phone: 209-529-9600 Fax: 209-544-2620 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1114 6th St, Modesto, CA 95354 Phone: 209-576-2845 Fax: 209-384-3966 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 Hammond St, Modesto, CA 95351 Phone: 209-576-4437 Fax: 209-384-3966 | |
Greater Modesto Medical Surgical Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3125 Conant Ave, Modesto, CA 95350 Phone: 209-214-7053 Fax: 209-523-0764 | |
Gettysburg Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Coffee Rd, Building 10, Modesto, CA 95355 Phone: 209-725-2060 Fax: 209-725-2072 | |
Keith Leibowitz M.d. A Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Park Ave, Modesto, CA 95354 Phone: 757-645-7079 |