Organization Name: | VALLEY FAMILY HEALTH CENTER MEDICAL GROUP, INC. |
NPI Number: | 1154420875 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES W. SMITH (COO) |
Mailing Address: | 337 E Kings St Avenal |
State: | CA US |
Postal Code: | 932041630 |
Phone Number: | 5593865200 |
Fax Number: | 5593861367 |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 10/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |