Organization Active NPI

Valley Family Health Center Medical Group, Inc.

  • Rural Health Clinic/Center
  • Corcoran, CA
National Provider Identifier
1437258175
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
VALLEY FAMILY HEALTH CENTER MEDICAL GROUP, INC.
Practice address
1026 Chase Ave
Corcoran, CA 93212-2334
Phone
(559) 992-8200
Fax
(559) 992-8673
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Charles W. Smith, FNP
Title
Coo
Phone
(559) 867-4416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1026 Chase Ave
Corcoran, CA 93212-2334

Mailing address

PO Box 543
Riverdale, CA 93656-0543
Phone (559) 876-4416

Other identifiers 2

IdentifierTypeStateIssuer
RHM53914FMedicaidCA
HAP53914FMedicaidCA

Other names 1

  • Maternal & Child Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1437258175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 543",
            "city": "RIVERDALE",
            "state": "CA",
            "postal_code": "936560543",
            "telephone_number": "559-876-4416",
            "fax_number": "559-867-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 CHASE AVE",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "932122334",
            "telephone_number": "559-992-8200",
            "fax_number": "559-992-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY FAMILY HEALTH CENTER MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "559-867-4416",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM53914F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAP53914F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maternal & Child Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corcoran, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.