| Golden Valley Health Center | |
|
301 Howard Rd Westley CA 95387-0068 | |
| (209) 894-3141 | |
| (209) 894-3082 |
| Full Name | Golden Valley Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 301 Howard Rd, Westley, 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 95340-6805 Ph: (209) 384-6493 | Golden Valley Health Center 301 Howard Rd Westley CA 95387-0068 Ph: (209) 894-3141 |
| NPI Number | 1770568347 |
|---|---|
| Provider Enumeration Date | 12/07/2005 |
| Last Update Date | 02/14/2017 |
| Medicare PECOS PAC ID | 4183527187 |
|---|---|
| Medicare Enrollment ID | O20111109000527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770568347 | NPI | - | NPPES |
| CMM70781F | Medicaid | CA | |
| GR0086283 | Medicaid | CA | |
| 030000654 | Other | CA | STATE OF CA# |
| ZZZ00073Z | Other | CA | BLUE SHIELD OF CA GRP PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 03000065 (California) | Primary |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Howard Rd, Westley, CA 95387 Phone: 209-894-3141 Fax: 209-384-3966 |