Central Valley Maternal & Child Care Centers
Organization Active NPI Primary Care Clinic/Center · Corcoran, CA
NPI 1326259573 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1326259573
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- CENTRAL VALLEY MATERNAL & CHILD CARE CENTERS
- Practice address
- 1026 Chase Ave
Corcoran, CA 93212-2334 - Phone
- (559) 992-8200
- Fax
- (559) 992-8673
- NPI assigned
- May 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Charles Smith
- Title
- C.O.O.
- Phone
- (559) 867-4416
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Central Valley Maternal Child Care Centers
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
1026 Chase Ave
Corcoran, CA 93212-2334
Mailing address
PO Box 543
Riverdale, CA 93656-0543
Phone (559) 867-4416
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0061024 | Medicaid | CA |
Other providers in Corcoran, CA
- Thomas James Burket II
- California Department of Corrections and Rehabiliations
- California Substance Abuse Treatment Facility-State Prison
- Tifani Jill Carlsen
- Anthony Valdez Casillas
- Seulji Chang
- Michele Ann Chapman
- Shiveta Cherwoo
- Caitlin Chinn-Goshgarian
- Barry Chong
All providers in Corcoran, CA · Primary Care Clinic/Center 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.