Active NPI
Valley Family Health Center Medical Group, Inc.
- Rural Health Clinic/Center
- Corcoran, CA
National Provider Identifier
1437258175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RHM53914F | Medicaid | CA | |
| HAP53914F | Medicaid | CA |
Other names 1
- Maternal & Child Care Center
National Provider Directory
National Provider DirectoryNPI 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.