Basic Information
| Provider Information | |||||||||
| NPI: | 1942541024 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | GOLDEN VALLEY HEALTH CENTERS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 737 W CHILDS AVE | ||||||||
| Address2: | |||||||||
| City: | MERCED | ||||||||
| State: | CA | ||||||||
| PostalCode: | 953416805 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2093831848 | ||||||||
| FaxNumber: | 2093830136 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 C ST | ||||||||
| Address2: | |||||||||
| City: | PATTERSON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 953632701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2098928441 | ||||||||
| FaxNumber: | 2098925984 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/14/2013 | ||||||||
| LastUpdateDate: | 03/14/2013 | ||||||||
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| AuthorizedOfficialLastName: | NOGUERA | ||||||||
| AuthorizedOfficialFirstName: | CHRISTINE | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 2093831848 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | BS, MS | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2300X | A124831 | CA | Y | Ambulatory Health Care Facilities | Clinic/Center | Primary Care |
No ID Information.