Public record

CMS Federally Qualified Health Center All Owners

Associate id: 4183527187 · 50 matching records

Enrollment id
O20051110000399
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
0042372799
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2003-06-23
First name - owner
GURJEET
Last name - owner
SANDHU
Title - owner
VP AND CHIEF FINANCIAL OFFICER
Percentage ownership
0
Enrollment id
O20051110000399
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
0042372799
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2003-06-23
First name - owner
GURJEET
Last name - owner
SANDHU
Title - owner
VP AND CHIEF FINANCIAL OFFICER
Percentage ownership
0
Enrollment id
O20051110000399
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
1052696028
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-03-01
First name - owner
ROBERT
Middle name - owner
BERNARD
Last name - owner
ANDERSON
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20051110000399
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
1850833286
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-09-08
First name - owner
DAVID
Middle name - owner
RAY
Last name - owner
CARR
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20051110000399
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
2668761750
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-05-01
First name - owner
DAVID
Last name - owner
QUACKENBUSH
Title - owner
PRESIDENT AND CEO
Percentage ownership
0
Enrollment id
O20051110000399
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
2668761750
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-05-01
First name - owner
DAVID
Last name - owner
QUACKENBUSH
Title - owner
PRESIDENT AND CEO
Percentage ownership
0
Enrollment id
O20051110000399
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
2668761750
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-05-01
First name - owner
DAVID
Last name - owner
QUACKENBUSH
Title - owner
PRESIDENT AND CEO
Percentage ownership
0
Enrollment id
O20051110000399
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
2769924190
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-03-09
First name - owner
KESHAVA
Middle name - owner
DAVID
Last name - owner
KAMINS
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20051110000399
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
3678015005
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-10-11
First name - owner
TAMARA
Middle name - owner
RAMAINE
Last name - owner
COBB
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20051110000399
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
3870878846
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-02-01
First name - owner
ERNESTO
Middle name - owner
MARTIN
Last name - owner
GOMEZ
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20051110000399
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
4789054412
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-04-26
First name - owner
TRICIA
Last name - owner
FORSHEY
Title - owner
SENIOR CREDENTIALING SPECIALIST
Percentage ownership
0
Enrollment id
O20051110000399
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
7618153644
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2012-09-01
First name - owner
MARIA
Middle name - owner
RAFELA
Last name - owner
VARGAS-PEREZ
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20051110000399
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
7911004767
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
1986-07-01
First name - owner
JOHN
Middle name - owner
EDWARD
Last name - owner
PRICE
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20051110000399
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
8921452293
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-08-13
First name - owner
MARIA
Last name - owner
ROSALES
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20051111000062
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
0042372799
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2003-06-23
First name - owner
GURJEET
Last name - owner
SANDHU
Title - owner
CHIEF FINANCIAL OFFICER
Percentage ownership
0
Enrollment id
O20051111000062
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
0042372799
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2003-06-23
First name - owner
GURJEET
Last name - owner
SANDHU
Title - owner
CHIEF FINANCIAL OFFICER
Percentage ownership
0
Enrollment id
O20051111000062
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
1052696028
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-03-01
First name - owner
ROBERT
Middle name - owner
BERNARD
Last name - owner
ANDERSON
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20051111000062
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
1850833286
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-09-08
First name - owner
DAVID
Middle name - owner
RAY
Last name - owner
CARR
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20051111000062
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
2668761750
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-05-01
First name - owner
DAVID
Last name - owner
QUACKENBUSH
Title - owner
PRESIDENT AND CEO
Percentage ownership
0
Enrollment id
O20051111000062
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
2668761750
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-05-01
First name - owner
DAVID
Last name - owner
QUACKENBUSH
Title - owner
PRESIDENT AND CEO
Percentage ownership
0
Enrollment id
O20051111000062
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
2668761750
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-05-01
First name - owner
DAVID
Last name - owner
QUACKENBUSH
Title - owner
PRESIDENT AND CEO
Percentage ownership
0
Enrollment id
O20051111000062
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
2769924190
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-03-09
First name - owner
KESHAVA
Middle name - owner
DAVID
Last name - owner
KAMINS
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20051111000062
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
3678015005
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-10-11
First name - owner
TAMARA
Middle name - owner
RAMAINE
Last name - owner
COBB
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20051111000062
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
3870878846
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-02-01
First name - owner
ERNESTO
Middle name - owner
MARTIN
Last name - owner
GOMEZ
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20051111000062
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
4789054412
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-04-26
First name - owner
TRICIA
Last name - owner
FORSHEY
Title - owner
SENIOR CREDENTIALING SPECIALIST
Percentage ownership
0
Enrollment id
O20051111000062
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
7618153644
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2011-09-09
First name - owner
MARIA
Middle name - owner
RAFELA
Last name - owner
VARGAS-PEREZ
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20051111000062
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
7911004767
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
1986-07-01
First name - owner
JOHN
Middle name - owner
EDWARD
Last name - owner
PRICE
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20051111000062
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
8921452293
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-08-13
First name - owner
MARIA
Last name - owner
ROSALES
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20080604000170
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
0042372799
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2003-06-23
First name - owner
GURJEET
Last name - owner
SANDHU
Title - owner
VP AND CHIEF FINANCIAL OFFICER
Percentage ownership
0
Enrollment id
O20080604000170
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
0042372799
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2003-06-23
First name - owner
GURJEET
Last name - owner
SANDHU
Title - owner
VP AND CHIEF FINANCIAL OFFICER
Percentage ownership
0
Enrollment id
O20080604000170
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
1052696028
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-03-01
First name - owner
ROBERT
Middle name - owner
BERNARD
Last name - owner
ANDERSON
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20080604000170
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
1850833286
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-09-08
First name - owner
DAVID
Middle name - owner
RAY
Last name - owner
CARR
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20080604000170
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
2668761750
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-05-01
First name - owner
DAVID
Last name - owner
QUACKENBUSH
Title - owner
PRESIDENT AND CEO
Percentage ownership
0
Enrollment id
O20080604000170
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
2668761750
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-05-01
First name - owner
DAVID
Last name - owner
QUACKENBUSH
Title - owner
PRESIDENT AND CEO
Percentage ownership
0
Enrollment id
O20080604000170
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
2668761750
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-05-01
First name - owner
DAVID
Last name - owner
QUACKENBUSH
Title - owner
PRESIDENT AND CEO
Percentage ownership
0
Enrollment id
O20080604000170
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
2769924190
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-03-09
First name - owner
KESHAVA
Middle name - owner
DAVID
Last name - owner
KAMINS
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20080604000170
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
3678015005
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-10-11
First name - owner
TAMARA
Middle name - owner
RAMAINE
Last name - owner
COBB
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20080604000170
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
3870878846
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-02-01
First name - owner
ERNESTO
Middle name - owner
MARTIN
Last name - owner
GOMEZ
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20080604000170
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
4789054412
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-04-26
First name - owner
TRICIA
Last name - owner
FORSHEY
Title - owner
CREDENTIALING SPECIALIST
Percentage ownership
0
Enrollment id
O20080604000170
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
7618153644
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2012-09-01
First name - owner
MARIA
Middle name - owner
RAFELA
Last name - owner
VARGAS-PEREZ
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20080604000170
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
7911004767
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2008-05-09
First name - owner
JOHN
Middle name - owner
EDWARD
Last name - owner
PRICE
Enrollment id
O20080604000170
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
8921452293
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2015-08-13
First name - owner
MARIA
Last name - owner
ROSALES
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20090811000450
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
0042372799
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2003-06-23
First name - owner
GURJEET
Last name - owner
SANDHU
Title - owner
EXECUTIVE VP AND DEPUTY CEO
Percentage ownership
0
Enrollment id
O20090811000450
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
0042372799
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2003-06-23
First name - owner
GURJEET
Last name - owner
SANDHU
Title - owner
EXECUTIVE VP AND DEPUTY CEO
Percentage ownership
0
Enrollment id
O20090811000450
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
1052696028
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-03-01
First name - owner
ROBERT
Middle name - owner
BERNARD
Last name - owner
ANDERSON
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20090811000450
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
1850833286
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-09-08
First name - owner
DAVID
Middle name - owner
RAY
Last name - owner
CARR
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20090811000450
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
2668761750
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-05-01
First name - owner
DAVID
Last name - owner
QUACKENBUSH
Title - owner
PRESIDENT AND CEO
Percentage ownership
0
Enrollment id
O20090811000450
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
2668761750
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-05-01
First name - owner
DAVID
Last name - owner
QUACKENBUSH
Title - owner
PRESIDENT AND CEO
Percentage ownership
0
Enrollment id
O20090811000450
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
2668761750
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-05-01
First name - owner
DAVID
Last name - owner
QUACKENBUSH
Title - owner
PRESIDENT AND CEO
Percentage ownership
0
Enrollment id
O20090811000450
Associate id
4183527187
Organization name
GOLDEN VALLEY HEALTH CENTERS
Associate id - owner
2769924190
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-03-09
First name - owner
KESHAVA
Middle name - owner
DAVID
Last name - owner
KAMINS
Title - owner
BOARD MEMBER
Percentage ownership
0

Showing the first 50 matching records.

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