1316393010 NPI number — GOLDEN VALLEY HEALTH CENTER

Table of content: (NPI 1316393010)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316393010 NPI number — GOLDEN VALLEY HEALTH CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GOLDEN VALLEY HEALTH CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316393010
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1910 CUSTOMER CARE WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATWATER
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95301-5167
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
209-384-6493
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1920 MEMORIAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CERES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95307-1827
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-541-3000
Provider Business Practice Location Address Fax Number:
209-538-1096
Provider Enumeration Date:
05/11/2016

Additional Information

Authorized Official

Authorized Official Last Name:
WEBER
Authorized Official First Name:
TONY
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
209-385-5551

Provider Taxonomy Codes

  • Taxonomy code: 261QF0400X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 751949 . This is a "OSCAR CERT" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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