GOLDEN VALLEY HEALTH CENTER (NPI# 1841776572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841776572 |
| Entity Type | Organization |
| Organization Name | GOLDEN VALLEY HEALTH CENTER |
| Practice Address |
4707 Greenleaf Ct Modesto CA 95356-8733 |
| Mailing Address |
737 W Childs Ave Merced CA 95341-6805 |
| Practice Telephone | 8666824842 |
| Practice Fax Number | 8552029336 |
| Mailing Telephone | 2093846493 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |
| Authorized Official Name | MRS. GENEVIEVE MEDINA (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 2093846493 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373209 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 | 2020-10-15 |
| 1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
| 1134727746 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 | 2020-10-15 |
| 1699332247 | Golden Valley Health Center | Clinic/Center | 1801 Tully Rd Ste F1, Modesto, CA 95350-2937 | 2019-05-20 |
| 1508333253 | Golden Valley Health Center | Clinic/Center | 3940 Sandpiper Ave., Merced, CA 95340 | 2018-10-31 |
| 1114434552 | Golden Valley Health Center | Clinic/Center | 2240 W Monte Vista Ave, Turlock, CA 95382-9667 | 2018-01-08 |
| 1114430568 | Golden Valley Health Center | Clinic/Center | 1199 Delbon Ave Ste 3, Turlock, CA 95382-2006 | 2017-11-08 |
| 1174036776 | Golden Valley Health Center | Clinic/Center | 1120 Delbon Ave, Turlock, CA 95382-2021 | 2017-11-06 |
| 1700282175 | Golden Valley Health Center | Clinic/Center | 1540 Florida Avenue, Modesto, CA 95350-4437 | 2014-11-13 |
| 1598012247 | Golden Valley Health Center | Clinic/Center | 857 West Childs Avenue, Merced, CA 95341-6805 | 2012-08-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GOLDEN VALLEY HEALTH CENTERS | 737 W Childs Ave, Merced, CA 95340-6805 |
| Street Address |
4707 GREENLEAF CT |
| City | MODESTO |
| State | CA |
| Zip Code | 95356-8733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487662631 | Clair L. Pettinger | Emergency Medicine | 4707 Greenleaf Ct, Suite A, Modesto, CA 95356-8733 | 2006-08-04 |
| 1619223062 | Greenleaf Management | Clinic/Center | 4707 Greenleaf Ct, Suite A, Modesto, CA 95356-8733 | 2012-08-02 |
| 1851303804 | Stephen J. Bowman Sr. | Physician Assistant | 4707 Greenleaf Ct, Modesto, CA 95356-8733 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
| 1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
| 1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
| 1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
| 1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
| 1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
| 1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
| 1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
| Find all providers in zip 95356 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373209 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 | 2020-10-15 |
| 1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
| 1134727746 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 | 2020-10-15 |
| 1699332247 | Golden Valley Health Center | Clinic/Center | 1801 Tully Rd Ste F1, Modesto, CA 95350-2937 | 2019-05-20 |
| 1700282175 | Golden Valley Health Center | Clinic/Center | 1540 Florida Avenue, Modesto, CA 95350-4437 | 2014-11-13 |
| 1295719813 | Golden Valley Health Center | Clinic/Center | 1130 6th St, Modesto, CA 95354-2203 | 2005-12-06 |
| 1265030886 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 570, Modesto, CA 95350-4574 | 2020-10-15 |
| 1598363103 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 535, Modesto, CA 95350-4572 | 2020-10-15 |
| 1598302655 | Golden Valley Health Center | Clinic/Center | 2401 E Orangeburg Ave Ste 330, Modesto, CA 95355-3396 | 2019-12-06 |
| 1568939205 | Golden Valley Health Center | Clinic/Center | 209 Kerr Ave, Modesto, CA 95354-3808 | 2018-10-31 |
| Find all providers in MODESTO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.