United Health Centers of the San Joaquin Valley
Organization Active NPI Federally Qualified Health Center (FQHC) · Mendota, CA
NPI 1295944015 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1295944015
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
- Practice address
- 121 Barboza St
Mendota, CA 93640-1901 - Phone
- (559) 655-5000
- Fax
- (559) 655-6818
- NPI assigned
- May 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Benjamin H Flores
- Title
- Ceo
- Phone
- (559) 646-6618
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- United Health Centers of the San Joaquin Valley
Locations
121 Barboza St
Mendota, CA 93640
Phone (559) 655-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | CA | Yes |
Addresses
Primary practice location
121 Barboza St
Mendota, CA 93640-1901
Mailing address
PO Box 790
Parlier, CA 93648-0790
Phone (559) 646-3561
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HAP03956F | Other | CA | SOFP |
Other providers in Mendota, CA
- Turning Point of Central California, Inc.
- Adelaide Obianuju Ubah
- United Health Centers of the San Joaquin Valley
- United Health Centers of the San Joaquin Valley
- United Health Centers of the San Joaquin Valley
- United Health Centers of the San Joaquin Valley
- United Health Centers of the San Joaquin Valley
- United Health Centers of the San Joaquin Valley
- United Health Centers of the San Joaquin Valley
- Maria De Jesus Verdugo Lopez
All providers in Mendota, CA · Federally Qualified Health Center (FQHC) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.