Provider Demographics
NPI:1588171383
Name:VALLEY HEALTH TEAM, INC
Entity type:Organization
Organization Name:VALLEY HEALTH TEAM, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMONIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-364-2938
Mailing Address - Street 1:PO BOX 737
Mailing Address - Street 2:
Mailing Address - City:SAN JOAQUIN
Mailing Address - State:CA
Mailing Address - Zip Code:93660-0737
Mailing Address - Country:US
Mailing Address - Phone:559-364-2938
Mailing Address - Fax:559-364-2957
Practice Address - Street 1:888 N ALTA AVE
Practice Address - Street 2:
Practice Address - City:DINUBA
Practice Address - State:CA
Practice Address - Zip Code:93618-3001
Practice Address - Country:US
Practice Address - Phone:559-595-1000
Practice Address - Fax:559-591-6322
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VALLEY HEALTH TEAM, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-03
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)