Public record

CMS Federally Qualified Health Center All Owners

Associate id - owner: 2668761750 · 50 matching records

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
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
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
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
O20100608000471
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
O20100608000471
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
O20100608000471
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
O20100609000246
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
O20100609000246
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
O20100609000246
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
O20100610000277
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
O20100610000277
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
O20100610000277
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
O20100716000469
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
O20100716000469
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
O20100716000469
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
O20100811000399
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
O20100811000399
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
O20100811000399
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
O20101105001259
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
O20101105001259
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
O20101105001259
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
O20111109000162
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
O20111109000162
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
O20111109000162
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
O20111109000527
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
O20111109000527
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
O20111109000527
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
O20111109000796
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
O20111109000796
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
O20111109000796
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
O20111114000662
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
O20111114000662
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
O20111114000662
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
O20111220000858
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
O20111220000858
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
O20111220000858
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
O20111227000805
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
O20111227000805
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
O20111227000805
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
O20120606000275
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
O20120606000275
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

Showing the first 50 matching records.

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