NPIMap

Northeast Valley Health Corporation

Organization Active NPI Federally Qualified Health Center (FQHC) · Valencia, CA

NPI 1760669667 · NPPES record last updated Mar 3, 2022

Key facts

NPI
1760669667
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
NORTHEAST VALLEY HEALTH CORPORATION
Practice address
23763 Valnecia Blvd.
Valencia, CA 91355
Phone
(661) 287-1551
Fax
(661) 255-8037
NPI assigned
Jan 23, 2008
Organization subpart
No

Authorized official

Name
Mrs. Kimberly Wyard
Title
Chief Executive Officer
Phone
(818) 898-1388

Corporate family (same tax ID) 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

National Provider Directory

Tax ID family
Northeast Vall Ey (28 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X 960000964 CA
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

23763 Valnecia Blvd.
Valencia, CA 91355

Mailing address

1172 N. Maclay Ave.
San Fernando, CA 91340
Phone (818) 898-1388

Other identifiers

IdentifierTypeStateIssuer
HAP70650FOtherCAFAMILY PACT

Other providers in Valencia, CA

All providers in Valencia, CA · Federally Qualified Health Center (FQHC) in California

Sources for this page

Verify at the official NPI Registry.