United Health Centers Of The San Joaquin Valley
Clinic/Center, Federally Qualified Health Center (FQHC) in Clovis, CA. Organization (NPI-2).
NPI number1629640461
StatusActive
Last updated in NPPESApr 9, 2025
Details
- NPI
- 1629640461
- Entity type
- Organization (NPI-2)
- Legal business name
- United Health Centers Of The San Joaquin Valley
- Organization subpart
- No
- Enumeration date
- Jul 12, 2021
- Certification date
- Apr 9, 2025
- Last updated
- Apr 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
313 W Shaw AveClovis, CA 93612-3685
Phone 559-646-6618
Mailing address
3875 W Beechwood AveFresno, CA 93711-0795
Phone 559-646-6618
Authorized official
Mary Lou Lopez
Director Of Billing
8004924227
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